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A slow, gentle circular motion for a few seconds is sufficient
Dietary insufficiency is another significant cause, particularly among strict vegans and vegetarians, as vitamin B12 is naturally found almost exclusively in animal products including meat, fish, eggs, and dairy
In those cases, the decision between B12 injection vs IV leans toward infusion because it addresses more than one variable at a time
If stubborn chunks remain after 5 minutes, let the vial sit upright in the fridge for 15 to 30 minutes, then roll again
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