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An injection skips those bottlenecks entirely

It is recommended that adults over the age of 50 increase their sources of vitamin B12 through diet, fortified foods, B12 shots, or other supplements that can increase their B12 consumption. (By The National Institutes of Health) GASTROINTESTINAL ISSUES AND B12 SHOTS Persons who have gastrointestinal issues are particularly predisposed to issues with B12 deficiencies

If no refrigerator is available, keep the insulated bag closed as much as possible and replace gel packs with fresh ice wrapped in a barrier (like a Ziploc bag inside a towel) if the original packs warm up

Those who did not receive enough were associated with a much higher risk for obesity