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And while its true that a B12 deficiency can contribute to those things, there is one problem, says Ashley Barrient, a clinical dietitian at the Loyola Center for Metabolic Surgery & Bariatric Care in Chicago: Most of us arent deficient

A tiny 0.25mg dose would be a very manageable 0.1mL (10 units)

Causes of Joint Pain: Wear and tear (osteoarthritis), past injuries, repetitive motion, and inflammatory conditions like tendonitis

Others are controlled imports that also need an importation permit a patient cannot get

This is particularly relevant for injectable formulations obtained outside standard pharmaceutical channels, where risks of contamination, endotoxin exposure, or improper compounding may exceed any theoretical biologic effect

Evidence quality is Low