b12 injections vs pills Are Vitamin Shots Right for You? B12 Injection vs. Oral Supplements:

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If you intend to supplement vitamin B12, choose a form with methylcobalamin, hydroxocobalamin, adenosylcobalamin, or a combination of these (avoid cyanocobalamin, if possible)

Early signs of declining B12 levels include profound fatigue, tingling or numbness in extremities, cognitive changes, and balance problems requiring medical review