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This is exactly why you need sublingual B12 or, in more serious cases, B12 injections or IV support

It offers vitamin B12 which is vital for nerve function as well as red blood cell production and DNA synthesis

Quantitative ultrasonographic analysis of changes of the suprascapular nerve in the aging population with shoulder pain

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The UCLA Study: Exploring the Connection How It Worked The UCLA team studied the effects of B12 injections on individuals with clear skin