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These two delaying factors are why patients with low B12 levels are often prescribed B12 shots instead of oral supplements

In severe cases, it may lead to Wernicke-Korsakoff syndrome, causing severe confusion and coordination problems

These include: Individuals with pernicious anemia , a condition that causes their bodies to be unable to adequately absorb vitamin B12

Any symptom pattern alongside high B12 deserves medical evaluation

Refrigeration Required Other lipotropic formulationsespecially those with higher concentrations of Vitamin B12 or without preservativesrequire refrigeration to prevent degradation and bacterial contamination