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Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration
doi: 10.29011/2575-7083.100261

Call your healthcare provider if side effects are bothersome or do not go away, and seek emergency help for signs of allergy or severe reaction

In the published literature it is studied for cognition and neuroplasticity specifically for a reported effect on synaptogenesis (dendritic-spine formation) that its designers proposed is mediated through the hepatocyte growth factor (HGF) / c-Met receptor system [5]
