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Aid in proper red blood cell production and cardiovascular health

However, vitamin B12 shots should be taken only by healthcare professionals

B12 injections have very low toxicity, but adverse reactions can occur

[135] Propionibacterium , the other commonly used bacteria, produce no exotoxins or endotoxins and are generally recognized as safe (have been granted GRAS status) by the Food and Drug Administration of the United States

Peripheral neuropathy, subacute combined degeneration of the spinal cord, or cognitive impairment indicate more advanced deficiency and generally require intensive treatment over extended periods