A healthcare professional can prescribe vitamin B12 intramuscular injections or nasal gel spray for people with a severe vitamin B12 deficiency
Re-ingestion allows for absorption of nutrients made available by bacterial fermentation, and also of vitamins and other nutrients synthesized by the gut bacteria, including vitamin B 12
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A licensed healthcare provider who is capable of calculating the correct dosage and keeping an eye out for any negative responses should consistently deliver these injections
Generic Name: Vitamins B1 + B6 + B12 (Thiamine + Pyridoxine + Cyanocobalamin)