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There is no robust clinical evidence that B12 injections enhance energy, alertness, or performance in individuals whose B12 levels are already adequate

Progressive Symptoms: Anemia, causing shortness of breath, dizziness, and increased heart rate: All of these symptoms may be brought on by a deficit that lowers the synthesis of red blood cells

It supports injury recovery primarily by upregulating collagen and elastin synthesis, stimulating angiogenesis via VEGF and bFGF pathways, and broadly resetting gene expression in damaged tissue

And frankly, it's not the best performed study and that's putting it mildly