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Step 1: Get a proper diagnosis
According to the NIH, these doses are safe as vitamin B12 is a water-soluble vitamin of which your body will only absorb what it needs and excrete the rest

B.et al (2019)
Wrap it in a cloth or towel to mitigate the chilly sensation

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However, B12 deficiencies still occur, especially in specific high-risk groups like the elderly and those eating a vegan or vegetarian diet