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Oral supplements have not worked for you, which is common when an absorption problem is the underlying cause

To inject correctly, use a sterile needle and syringe

In severe cases of hemolytic anemia, blood transfusions, blood and bone marrow transplants, or surgery to remove the spleen may be necessary

However, vitamin B 12 deficiency does not generally develop until after at least two-to-three years of continuous therapy (137-139)

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Vitamin B12 helps us produce hemoglobin a molecule inside our red blood cells that carries oxygen and iron into our tissues (3)