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needs to be metabolized in order to be used by humans

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In addition, B-12 shots reduce the risk of some serious complications associated with vitamin B-12 deficiency including: heart disease neurocognitive disorders coordination problems (ataxia) peripheral neuropathy vision loss infertility (although this usually resolves with B-12 treatment) neural tube defects in the babies of women with B-12 deficiency In addition to getting B-12 from food sources, it is possible to acquire B-12 through a man-made version of the nutrient, known as cyanocobalamin