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Optimal outcomes depend on quality sourcing, proper reconstitution and injection technique, consistent monitoring, and integration with nutrition, exercise, sleep, and stress-management strategies

In fact, the Cochrane Group concludes that: there is evidence of low quality that oral vitamin B12 or vitamin B12 administered intramuscularly have similar effects in normalizing vitamin B12 serum levels, but oral treatment costs less

Below is a clinicians view of why it happens, what counts as normal, and the warning signs that mean you should stop waiting it out and speak to a doctor

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