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Long-term deficiency could potentially lead to nerve damage
B12 shots are typically given in the muscle of the upper arm (deltoid) or the hip (gluteal muscle)
[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares
MMA rises when there is not enough B12 in the mitochondria (the cells energy factories) to process fats and proteins so that they can be burnt as fuel for energy
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