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One solution in these cases is getting B12 way of an injection

[13] In a newly diagnosed vitamin B 12 -deficient patient, normally defined as when serum levels are less than 200 pg/ml, daily IM injections of hydroxocobalamin up to 1,000 g (1 mg) per day are given to replenish the body's depleted cobalamin stores

This approach may support more balanced metabolic activity in adults experiencing age-related hormonal decline

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