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With respect to dosage, the average reductions were: 2000 mcg: 71.5% (single data point) 1,000 mcg: 31.8% Although limited data are available for higher dosages, the findings support the efficacy of both oral and non-oral B12 formulations in modulating homocysteine levels

Vitamin B12 shots are often prescribed for people with: Pernicious anemia (autoimmune destruction of intrinsic factor needed for B12 absorption) Gastrointestinal surgeries (e.g., gastric bypass, ileal resection) Crohns disease or celiac disease Chronic alcoholism Long-term use of acid-reducing medications Vegan diets without supplementation Infants or children with congenital absorption disorders (i.e., vitamin B12 for kids in clinical care) Injections ensure direct delivery into the bloodstream, bypassing the digestive system entirely

It is considered by some to be a first line treatment in rheumatoid arthritis

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doi:10.2174/157340313805076322 What is AOD 9604 (3mg)

Therefore, those who are vegetarian or vegan are more likely to be deficient in vitamin B12