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It can also reduce c-reactive proteins which are created in the liver in response to inflammation and inversely associated with general biomarkers of health

Some people report increased alertness from B12, while others notice no effect

When malabsorption is the issue, simply eating more B12-rich foods or taking standard oral supplements might not be enough

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These include vitamin B12 deficiency and malabsorption that is caused by the following medical conditions, according to the NIH [1]: Pernicious anemia Tropical sprue Pancreatic insufficiency Surgery in the gastrointestinal tract Certain medications Deficiency in the diet Side effects of B-12 injections Also, according to the NIH, vitamin B-12 injections have some potential side effects, including [1]: Diarrhea Itching Swelling Risk of allergic reaction and anaphylaxis Can Vitamins Aid in Weight Loss