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There is no single correct approach

10.1152/jappl.1993.75.6.2419 J Appl Physiol

Important limitations you should know For people with normal B12 levels, the evidence is far less compelling

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Factors that influence this include: Baseline B12 levels Symptoms and severity Absorption issues or medical conditions Diet and lifestyle factors Some people maintain healthy levels with occasional injections, while others require more consistent support