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Salama AF et al

However, it's always wise to consult with a healthcare professional before beginning any long-term supplementation regimen, especially if you have pre-existing health conditions

Sanz-Cuesta T, Escortell-Mayor E, Cura-Gonzalez I et al (2020) Oral versus intramuscular administration of vitamin B12 for vitamin B12 deficiency in primary care: a pragmatic, randomized, non-inferiority clinical trial (OB12)

Molecules (Basel, Switzerland) 24(16):2966 Maleki SJ, Crespo JF, Cabanillas B (2019) Anti-inflammatory effects of flavonoids

What those numbers do not capture is the larger group of patients sitting in the low-normal range, where B12 is functionally inadequate even though the serum level has not dropped below the lab threshold