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The root cause of a vitamin B12 deficiency can be one of several things

Below is the window for every situation the label and published guidance actually cover: sealed, opened, refrigerated, frozen, heat-exposed, reused and reconstituted, plus what the benzyl alcohol preservative does not protect against

Lack of absorption and genetic factors may also contribute to vitamin B12 deficiency

Similarly, individuals with certain types of cancer, especially those related to hormones, should consult with their healthcare provider before considering lipotropic injections, as some components might influence hormone levels