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This is not catastrophic

Vitamin injections enter the body immediately without the need for the digestive system to break down tablets or powder

In fact, the absorption of B12 requires that you have adequate stomach acid (among many other factors), which means that if you are taking acid blockers for reflux you are likely reducing your absorption of B12

However, like any medical treatment, it's crucial to understand the therapys uses, effectiveness, proper dosage, and potential side effects

Many companies may ship from Canada while still sourcing finished vials from overseas

Syringe dead space: Standard syringes leave a small amount of solution in the needle hub after each injection