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Poor balance and coordination: Trouble with balance and coordination, leading to unsteady movements

When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed

Occasionally, the problem is not what they are consuming but that they just do not have the energy to continue

You might need B12 injections if you have a B12 deficiency, certain health conditions, or symptoms like tiredness, weakness, or neurological issues

If your client does not feel the effects after 2 3 injections, then it is more than likely that they are not B12 deficient