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The term pernicious means harmful, and pernicious anemia causes harm to several body systems: Pernicious anemia typically affects people aged 60 to 80 of Northern European descent

[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients

While oral supplements are common, vitamin b complex im injections have distinct advantages for certain health concerns: Direct Absorption: Injections deliver vitamins directly into the bloodstream for 100% absorption, unlike oral supplements where a portion can be lost

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