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For individuals needing only B12 replenishment, shots deliver strong value

But she's very playful and drinks plenty of water and eats a lot of food

This is not a peripheral effect

People at higher risk of running low include: Those with HIV Those with eating disorders Those with diabetes (especially those taking metformin) Vegans and vegetarians (natural B12 is found in animal products) Those with Crohn's Disease or pancreatic disease Anyone else with trouble absorbing nutrients A B12 deficiency can slow you down in many ways, because your body is not producing red blood cells or supporting the nervous system the way it should