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B12 is safe on its own, but a few conditions call for extra care, which is why a provider reviews your history before treatment: Leber's hereditary optic neuropathy, a rare inherited eye condition, where certain forms of B12 may be a concern for the optic nerve
Similarly, Inflammatory Bowel Disease (IBD) can lead to reduced capability to absorb nutrients
PMID: 41476424
According to the NIH Office of Dietary Supplements, vitamin B12 is available as cyanocobalamin and hydroxocobalamin, which are typically administered parenterally by intramuscular injection to bypass gastrointestinal absorption barriers
MOTS-c helps ensure adequate metabolic capacity to meet those demands
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