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If you follow the advice and keep your arm relaxed, dangling on the outside of your hip, this will make it far less likely to hurt

B12 deficiency can result from dietary factors such as a lack of animal products or from conditions affecting absorption like pernicious anaemia or gastrointestinal surgery

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Elevated methylmalonic acid or homocysteine with normal-ish b12 suggests functional deficiency requiring supplementation

Relationship to meals Injecting on a full stomach vs an empty stomach does not affect subcutaneous absorption