total gastrectomy b12 injection

This form of B12 interacts with an enzyme called methylmalonyl CoA mutase, a metabolic enzyme, and may be useful for those with impaired energy production Size:10 mL (1000 mcg / mL) https://i.redd.it/x7m54lew0o4d1.jpeg Omega 3 Can someone tell me how to go about raising B12 levels? Nonstop panic attacks for two weeks now. Blood tests showed lower b12, but apparently some b12 injections cause anxiety? Please help

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