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Larger needles: Larger gauges (e.g., 18G or 20G) are more painful

However, a study found that taking 1,000 mcg of B12 by mouth or injecting the vitamin achieved similar results in treating the deficiencies

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Type IIA
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117119 Vitamin B 12 deficiency signs and symptoms appear to be very similar to diabetic neuropathy and are considered to be clinically indistinguishable (Box 2)
