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B12 can be given IM (intramuscularly) or IV (intravenously)

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Furthermore, it reduces hepatic gluconeogenesis by improving insulin resistance, further relieving liver fat accumulation

B-12 deficiency has also been linked to migraine headaches and menstrual irregularities. Recent research has shown that higher levels of Vitamin B-12 protect against brain changes that happen with aging.People with higher B-12 levels, even those without actual deficiency showed less age-related decline like dementia and Alzheimers disease

I really think that the ampoules start to lose their potency , not immediately after the expiry date , but fairly soon