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Eating a diet of whole foods offers health benefits that a supplement pill does not, says Marlisa Brown, RDN, a certified diabetes care and education specialist based in Bayshore, New York

Anything less than 200 pg/ml is generally considered to be a deficiency

Conclusion Vitamin B12 shots are used to overcome vitamin B12 deficiency, which is common especially among the elderly, those with intestinal damage or disorders, people with pernicious anemia, and vegetarians/vegans

Reduction in maintenance dose reflects that levels of cobalamin have been restored

It is not clear if the regular intake of vitamin B12 from food can lead to acne breakout. What is important, she says, is that the changes in bacterial gene expression may not be limited to B 12 -associated acne

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