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People who have lost part of the stomach through weight-loss surgery may also require ongoing methyl B12 injections

An IM injection delivers medicine directly into a muscle rather than under the skin, allowing faster absorption and avoiding some of the delays or limits of oral or subcutaneous routes

Other times, the rash may be due to complications from the treatment of the anemia

Muscle Stem Cell Rescue: It has been shown to rejuvenate senescent muscle stem cells (muSCs), restoring the regenerative capacity of aged skeletal muscle and significantly increasing grip strength and torque in animal models

I've had this at times after an injection but it passes