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In comparison to more invasive treatments, B-12 injections are a very affordable option.

Epigenomics 8 , 11311149 (2016)

Using sterile water for repeated draws over an extended period increases the risk of bacterial growth in the vial, as the solution contains nothing to inhibit it

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10.1016/j.ejphar.2007.05.072 93 Tlak GajgerI.RibariJ.Smodi kerlM.VlainiJ.SikiriP

Nat Rev Dis Primers (2017): Vitamin B12 is essential for normal nervous system function via its role in myelin synthesis and for circulatory system function through its role in red blood cell maturation in the bone marrow