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Pacing Activities On your good days, pushing yourself too hard can lead to "crashing" for the next few days, known as the "push-crash cycle." Learning to pace your activities may help you avoid this cycle

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Gastric bypass surgery : This surgery alters the digestive system, reducing the bodys ability to absorb B12 from food and supplements.For these individuals, methylcobalamin B12 injections provide a direct way to bypass the digestive system and restore essential B12 levels

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