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To prevent that deficiency, you can either go with vitamin B12 oral supplements or B12 injections
It may be that having this regime would have a beneficial impact on your trigeminal neuralgia - neurological symptoms take some time to repair properly and having the loading doses then (I suspect) the 'usual' three monthly jabs may not be sufficient to effect proper neurological repair
Someone using a GLP-1 agonist for appetite control might add 5-amino-1mq to enhance fat metabolism and preserve muscle mass
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