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There was a period in American history where we didnt have an FDA, and there were accidental deaths and a lot of harm. Zuckerman notes that the FDA often is able to move quickly on approving drugs during medical emergencies, such as the process that led to effective vaccines during the COVID-19 pandemic

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However, the limit to its reuse depends on several factors

Trigger neurologic symptoms, such as numbness and tingling in hands and feet, mood changes, anxiety, difficulty walking, disorientation, and memory loss

The B12 deficiency itself getting worse, either because not enough unhealthy red blood cells have expired and been replaced by healthy ones (each one of them has a 90 day life-cycle), or because the B12 wasnt injected on a daily schedule