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Also, the injection itself doesnt hurt at all but the pain afterwards (even after leaving the rx out for several hours so it wasnt cold) hurts significantly to the point Im sometimes limping for a day

Many older adults dont get enough B12 even with a seemingly normal diet

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With aging, there is a progressive loss of motor neurons, leading to muscle fiber denervation and fragmentation of the NMJ, which profoundly impairs efficient neurotransmission ( Mitochondrial dysfunction and oxidative stress, both prominent features of muscle aging and sarcopenia, have been shown to directly damage components of the NMJ (Sun et al., 2024)

Suppression of Glucagon Secretion: Decreased glucagon reduces hepatic gluconeogenesis and glycogenolysis