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Various secondary alkyl halides are then readily attacked by the modified B 12s to give the corresponding stable cobalamin analogs

Skin reactions or injection site effects may occur with B12 supplementation but are not caused by elevated serum levels

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Injections are also advantageous for individuals who have undergone gastric surgery, as the procedure can: Decrease the number of cells needed to secrete stomach acid and intrinsic factor in the gastrointestinal tract Help bypass absorption challenges Provide adequate levels of the essential vitamin Immediate Increase in Blood Levels B12 injections can raise blood levels of the vitamin within 48 to 72 hours

Unadjusted model adjust for none

Vegans and vegetarians also tend to be deficient in vitamin B-12