why would you need a vitamin b12 injection Are Shots Right for You? Feeling worse after B12 Injection:

Crashes With Fatalities In serious vehicle crashes involving the death of one or more people in a drunk driving wreck (with other vehicles or with a pedestrian, or a serious boding injury to another person), the existence of reasonable suspicion of one or more drivers being impaired can be the basis of a law enforcement officer utilizing a statutory provision or (more likely) a judicial search warrant to forcibly draw blood and/or collect urine, to determine the BAC level or the drug concentration within a DUI drivers bloodstream

PMID 33939715

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The authors also point out that in some rare genetic disorders of B12 metabolism, the active forms may be required, and that smokers, who tend to have an excess of thiocyanate in their blood, may benefit from a taking a form other than cyano-B12

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