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In practice, this often causes excessive irritation and barrier damage

57 Positive effects of B12 on homocysteine levels have also been observed in other patient populations, including healthy adults, 46 vegetarian women, 58 generally healthy women, 59 older adults with elevated MMA and homocysteine, 37 and patients with type 2 diabetes mellitus

Typically, individuals who benefit the most from B12 vitamin injections are those experiencing symptoms of B12 deficiency, which can include chronic fatigue, weakness, mood changes, memory issues, or tingling in the hands and feet

Indiscriminate administration of vitamin B12 may mask the true diagnosis of pernicious anemia