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Cyanocobalamin, which must be processed by the body into the active form, is the most common type used in supplements

A 2003 study by Khavinson's team lengthened telomeres in human cells, and in 2025 an independent group at Brunel University London reported dose-dependent telomere extension in normal human cells

PMID: 40789979 Chang CH, Tsai WC, Lin MS, et al

Remember that proper technique includes site rotation to prevent tissue changes that could affect absorption

Researchers using proper aseptic technique (alcohol swab, needle change between drawing and injection, single-use syringes) report near-zero contamination

Eventually, the scar tissue may become permanent (called cirrhosis) and liver failure