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Reported intake or a recent injection is the likely cause, since oral supplements, fortified products, and injected B12 are the most common reasons for a high value

This chain of events fails to occur in the corticosteroids animals after initial inflammation inhibition (Sikiric et al., 2003)

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B12 shots deliver the vitamin directly into the bloodstream, ensuring maximum absorption

Either that or we are all suffering from paranoia as a B12 deficiency symptom