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Large-scale, well-designed trials with proper randomization and blinding are needed to determine whether high-dose oral supplementation is as effective as intramuscular injection for increasing vitamin B 12 status and alleviating clinical symptoms of vitamin B 12 deficiency

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Your provider may adjust this based on your IGF-1 response and tolerance

One small study showed elderly patients receiving Epitalon reporting subjective vision improvements though objective measurements not included

Physical therapies, including acupuncture and chiropractic medicine, also have some risks