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Oral vitamin B12 versus intramuscular vitamin B12 for vitamin B12 deficiency: a systematic review of randomized controlled trials

Athletes subject to drug testing should consult their sport governing body before use

Khavinson V, Goncharova N, Lapin B

Elimination : Only 3-22% is excreted unchanged in the urine (~30% of clearance occurs in the kidneys)

The possible reason for the inconsistent findings can be explained by various factors including cancer type, drug dosage, synergism, bioavailability, patients lifestyle, tendency to take supplements, and the duration of the studies with other variables incorporated (67) (Table 7)