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Injections deliver vitamin B12 directly into the bloodstream, bypassing digestive absorption issues that can limit the effectiveness of oral supplements

However, it's always best to consult with your healthcare provider to determine the right dosage for you

Traditional mast cell activation (antigen binding) causes both: an immediate reaction and a delayed reaction Immediate reaction: The immediate reaction happens quickly, within minutes, causing the mast cell to degranulate and release its chemical-filled granules into the surrounding area

The autonomic nerves can also be target of damage as these nerve fibers run through the spinal cord