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According to the National Institutes of Health, B12 deficiency can cause damage to the nervous system before a blood test indicates anything

Clinical deficiency with clearly low blood levels affects a smaller percentage, but a much larger group falls into a gray zone where levels are low enough to cause subtle symptoms without triggering an obvious diagnosis

The choice between subcutaneous and intramuscular administration may depend on the formulation, the patients body composition, and the clinics experience

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