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For treating or preventing a B12 deficiency, both injections and oral supplements are available, with the best option depending on your health needs

If you have neurological symptoms (pins and needles, numbness, balance issues), severe fatigue, unexplained weight loss, chest pain, breathlessness, or symptoms that are worsening, you should seek medical assessment promptly.

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Both effects operate through pathways that appear independent of the canonical growth hormone receptor