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However, for confirmed B12 deficiencyparticularly pernicious anaemia or neurological symptomsintramuscular hydroxocobalamin injections remain the first-line treatment in the UK, as recommended by NICE and the British Society for Haematology
This is why major medical organizations caution against viewing B12 shots as universal performance enhancers
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Paradoxically, the symptom affects people who are actually being treated for a shortage of the vitamin
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