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Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration

C., Yelshanskaya, M

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(Talk to your doctor before going on any supplements, okay?) But in healthy individuals, a 2026 study found that even higher doses of ashwagandha supplements did not appear to cause damage to the kidneys, liver, or thyroideven after 12 weeks

They're the majority of reported failures

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