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According to the National Heart, Lung, and Blood Institute, this absorption failure makes B12 injections the primary and most effective treatment, as they deliver the nutrient directly where your body can use it, bypassing the digestive system entirely

doi:10.1016/j.nutres.2012.12.010 Ebrahimpour Koujan S, Gargari BP, Mobasseri M, Valizadeh H, Asghari-Jafarabadi M

In cases where hypersensitivity is confirmed, desensitization protocols have been developed to allow patients to continue receiving necessary vitamin B12 supplementation safely

Practices like meditation or deep breathing can help keep your internal environment calm