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Some people might do well on lower doses of oral B12, but its important to watch and adjust

Its core pathological feature is excessive accumulation of adipose tissue, accompanied by abnormal proliferation, differentiation, and metabolic dysfunction of adipocytes, which in turn induce a series of complications including insulin resistance, nonalcoholic fatty liver disease, and cardiovascular diseases

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If you are experiencing side effects without clear benefits, the trade-off does not make sense

For treating confirmed B12 deficiency requiring injections, the NHS standard treatment is intramuscular hydroxocobalamin (another form of B12), not methylcobalamin or cyanocobalamin