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b12 injection hives Strange Rash/ Low : r/B12_Deficiency Vitamin B12 Deficiency and Your
Description
A deficiency can affect mental sharpness and energy levels, sometimes causing memory issues or trouble concentratingconcerns that can affect both adults and children

Patients with this condition cannot absorb B12 from food or oral supplements and require lifelong intramuscular replacement therapy
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Thus a situation of Paradoxical B12 deficiency was universal

The trek is moderate to challenging , mainly due to altitude