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The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences

Think it is beneficialwish for more energy and weight loss

It plays a foundational role in how efficiently your cells convert nutrients into energy and support overall cellular health

Injections, with very thin painless needles, are the most effective way to deliver a consistent amount of medicine into your bloodstream

This injection can improve mood, focus, and overall vitality