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Groups at higher risk for B12 deficiency Certain people are biologically more likely to run low on B12, regardless of how healthy their diet seems

Injections are clearly superior when absorption is impaired, such as in pernicious anemia or after gastrointestinal surgery, because they bypass the digestive tract

It is not for human or animal use, and not for therapeutic or diagnostic applications

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The peptide works best as part of a comprehensive approach including proper nutrition, regular exercise, and lifestyle optimization rather than as a standalone intervention

Each of these options has its own mechanism, evidence base, and risk profile