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Despite its importance, B12 deficiency is remarkably common particularly among vegetarians, older adults, individuals with digestive conditions, and anyone whose body has difficulty absorbing this vitamin from food or oral supplements

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The vial format supports multiple needle-punctures across the working life of the product, with each puncture introducing a small amount of air and potential for contamination the benzyl alcohol component limits the consequences of these incidental contamination events

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If serum B12 is borderline or normal but suspicion remains, check MMA (methylmalonic acid) and homocysteine levels