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Shaking the vial Vigorous shaking creates foam and can damage the peptide structure

While you get B12 from foods like fish, meat, and cereals, you may not be absorbing enough through the digestive process

[2] Once administered intramuscularly, B12 is gradually released into the bloodstream and transported to the liver, where approximately half of the body's total B12 stores are held

If you see no improvement by week 4, consider whether the diagnosis is accurate, whether dosing is adequate, or whether the injury may require longer treatment or combined approaches