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In these cases, B12 injections are crucial for maintaining adequate nutrition and preventing deficiencies that could arise from altered digestive capabilities

In summary, the available data about the effect of buffers on the sensation of pain suggest that, in some cases, it is a consequence of the particular drugbuffer combination, as occurs in the case of bicarbonate and local anesthetics in which the buffering capacity of bicarbonate at pH 7 increases the activity of the anesthetics, thus reducing pain associated with the SC injection [51]