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Journal Medicine 116 (5), 358

While B12 plays a role in energy metabolism and red blood cell production, it's important to note that supplementation will only improve energy levels in people with an existing deficiency

The frequency depends on your individual needs and the severity of any deficiency

the trick is planning and communication

This method allows for rapid absorption and is often preferred for individuals with severe B12 deficiency or malabsorption issues

In addition, a deficiency of vitamin B12 can cause facial signs such as hyperpigmentation (dark spots), vitiligo (white patches where skin loses color), or angular stomatitis (inflammation at the corners of the mouth)