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O (Outcome): Primary outcome: changes in serum Vitamin B12 levels, clinical improvement of Vitamin B12 deficiency symptoms

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These medications may clog higher-gauge needles, leading to increased pressure during administration, which could result in an uncomfortable experience for both the healthcare provider and the patient

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Lyophilised powder: Store at 20C, protected from light and moisture

While all B vitamins play roles in energy metabolism and cell health, B12 is especially crucial for brain, nerve, and blood function