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For patients with proven indications for vitamin B12 supplements this represents roughly 42 a year each

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It is generally considered safe to receive B12 injections from a qualified healthcare professional, provided they are administered by a trained individual

Strict vegetarians and vegans are at high risk for developing a B 12 deficiency if they don't eat grains that have been fortified with the vitamin or take a vitamin supplement

Those of you who have been following my work know the drill: There are two potential issues that arise in observational studies that prevent us from ascribing cause-and-effect: confounding factors, also known as lurker variables, and reverse causation