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So even if your diet is rich in B12 foods, you may not be absorbing it

Research by Ng et al

Measurements of serum vitamin B 12 may not reliably detect deficiency, and measurement of serum homocysteine and/or methylmalonic acid should be used to confirm deficiency in asymptomatic high-risk patients with low normal levels of vitamin B 12

All animals were treated humanely, and all studies were carried out in accordance with good laboratory practice (GLP) (China Food and Drug Administration, CFDA) guidelines for nonclinical laboratory studies of drugs issued by the National Scientific and Technological Committee of the Peoples Republic of China

The injection site, typically the upper arm or thigh, will be cleaned to ensure hygiene

It almost makes surgery obsolete