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Description
Healthcare providers commonly prescribe: Vitamin B-12 shots to help prevent or treat pernicious anaemia and B-12 deficiency
Treating pernicious anemia (vitamin B12 shots or high oral doses of vitamin B12 are usually used in this case)

I have seen this acne going and coming back like a cycle

It is naturally available in animal products, but deficiencies can occur due to dietary restrictions, malabsorption issues, or certain health conditions
