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They represent a high-risk group requiring careful monitoring and aggressive supplementation as needed

B12 has been shown to promote recovery of nerve tissue after traumatic brain injury (TBI) , and to stabilize and reduce the rate of nerve cell death

Exercise caution or seek alternatives in patients with prior anaphylaxis to parenteral vitamins

Please note: Vitamin B12 ampoules are not included

If you have additional risk factors, such as a vegetarian or vegan diet (which may be lower in B12-containing foods), a history of gastrointestinal surgery, or certain medical conditions like pernicious anemia, your healthcare provider may recommend monitoring your B12 levels and considering supplementation, including B12 shots if necessary