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Intravenous administration might be better in some cases

Vitamin B12 deficiency that is allowed to progress for longer than three months may produce permanent degenerative lesions of the spinal cord

B12 Vitamin Patches by PatchMD B12 Vitamin Patches by PatchMD are transdermal patches that provide direct delivery of vitamin B12 into the bloodstream through the skin

Some patients report a warm or flushing sensation immediately following injection, which is normal