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References View all 9 references + Sikiri, P., et al

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Severe neurological damage from prolonged deficiency can become permanent if not treated promptly which is why accurate and timely diagnosis matters more than choosing a particular supplement form

No, there is no established clinical evidence that B12 injections cause weight loss in individuals with normal B12 levels

observed in Nature Medicine , NNMT inhibition in adipose tissue produced favorable body composition changes without negatively impacting muscle mass (Kraus et al., Nature Medicine )