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There is a lack of long-term effects data, including concerns about abnormal cell growth and the need for ongoing evaluation and monitoring

The liver also produces small amounts, which aren't sufficient for the body's needs, so it's important to consume choline-rich foods

Oral high-dose B12 may be considered in some cases, but this should be determined by a healthcare professional

Your skepticism is valid

While oral pills can be sufficient for correcting minor, diet-related deficiencies, injections remain the gold standard for tackling significant shortfalls and managing medical conditions that get in the way of B12 uptake