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Higher doses may be considered under clinical supervision for those who decline injections despite malabsorption, though this is an off-label approach

"Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis"

However, the HCG Institute also has Methylcobalamin troches 5mg that work better than b12 pills because they are going into the bloodstream via tiny blood vessels underneath the tongue avoiding the digestion process

Vitamin B12 plays a role in red blood cell production, DNA synthesis, and the proper functioning of the nervous system

Some participants achieved weight loss of approximately 24% of body weight at 48 weeks approaching levels reported with some bariatric surgical procedures, though no direct head-to-head comparisons have been conducted and long-term durability beyond the trial period remains unknown

Their efficacy has not been confirmed by FDA-approved research, and they are not intended to diagnose, treat, cure, or prevent any disease