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If you don't mind getting injections, have nutrient absorption issues, and are willing to make the trip to the doctor's office, then B12 injections may be the best option for you

Real-world gut issues are messier and may not respond the same way

According to Mayo Clinics drug and supplement reference, intramuscular B12 (the form used in MIXTs B12 injection protocols) is well-established for restoring B12 status quickly in clinically deficient patients and is often used when oral supplementation is poorly absorbed

Impact of diabetes and hyperglycemia on survival in advanced breast cancer patients

regulating the CoA to Acyl-CoA ratio (necessary for the production of ATP)