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It doesn't create it from nothing
Good hygiene, a fresh single-use needle and safe disposal remove most of that risk
It is deliberately membrane-permeable, which is what lets it get inside cells and act on an intracellular enzyme
Reduced stress: Whether because of a combination of the above benefits, or because of affects of the Vitamin B12 injection itself is unclear, patients have reported a significant decline in stress after receiving Vitamin B12 injections
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