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However, receiving nutritive injections during the fast is prohibited, as it is equivalent to eating and drinking. Fatw al-Lajnah al-Dimah: 10/252 Summary Non-nutritive injections for medical treatment do not break the fast

Nor do fiveor even fiftyloading doses provide long-lasting protection for people with other B12 absorption issues
Segmental demyelination: Myelin sheath breakdown

And, even if your diet is full of liver, clams, tuna, and trout chances are that your body isnt absorbing that B12 correctly

A 2025 systematic review reported 7 of 12 maintained improvement beyond 6 months

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