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Certain groups are at higher risk, including older adults (due to reduced stomach acid production), individuals with pernicious anaemia (an autoimmune condition affecting B12 absorption), those who have undergone gastrointestinal surgery, and people with conditions such as Crohn's disease or coeliac disease
Had sort of assumed it was to do with risks of cross contamination but thinking about how others have described the process of doing an intra-muscular injection I think different sized needs are used to draw the fluid in to the syringe - probably a wider one - and then a finer one to inject
CityHealth San Leandro also offers B12 vitamin injections a quick walk-in treatment for energy, fatigue, and B12 deficiency
While the vocabulary varies, the lived experience is the same an unwanted, often painful tightening of muscle fibers that wont fully release on its own
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