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It's sealed in a sterile, stable environment

Image: Christoph Burgstedt/Science Photo Library/Getty Images/Getty Images About the Author Howard E

B12 IM injections are often recommended for individuals with conditions that affect B12 absorption, such as pernicious anemia, atrophic gastritis, or those who have undergone certain gastrointestinal surgeries

doi:10.1210/endo.142.12.8617 Heffernan MA, Jiang WJ, Thorburn AW, Ng FM

Leukaemia inhibitory factor is required for normal inflammatory responses to injury in the peripheral and central nervous systems in vivo and is chemotactic for macrophages in vitro

Like most vaccines, they can come with a few mild, and short-lived, side effects