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A clinical trial from Spain treated adults, with an average age of 74, for eight weeks with 1,000 g of cyanocobalamin per day and then for another 46 weeks with 1,000 g per week

However, it may also present itself as pale skin

[1] The authors framed the observed metabolic shifts as a direct effect on lipid handling in the model rather than appetite suppression

While this represents a higher per-treatment cost than oral supplements, the superior absorption and reduced frequency often make injections cost-competitive over time, particularly for those who dont absorb oral forms effectively

Many GP surgeries now also employ pharmacists, so you may find you have an appointment with them for a medicines review or to discuss the management of an ongoing condition