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There are some good over-the-counter products but the majority of products being marketed for this are not proven to be effective and theyre pretty expensive

In the studies we have, its safety signal has been very reassuring, but that's different from FDA approval

For a confirmed deficiency, their guidelines point to a specific type of B12 called hydroxocobalamin, given as an intramuscular injection

This is normal, but might surprise users more familiar with B12 injections

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Switching to a fresh, well-rotated site and applying a cool compress for 10 to 15 minutes typically resolves the issue