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B12 injections may be the better choice if you: Have severe, diagnosed B12 deficiency with neurological symptoms Have pernicious anemia requiring medical supervision Have had gastric bypass surgery affecting all absorption Prefer less frequent dosing and don't mind needles Have a medical condition requiring injectable B12 specifically Who Should Choose Oral Spray

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The impact timeline varies, but nutritional deficiencies typically begin affecting hair health within 2-3 months, as the hair growth cycle responds to changes in nutrient availability