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Vitamin B12 plays a crucial role in cellular metabolism and energy production, while the lipotropic compounds help break down fat in the liver

It stimulates vascular tissue and further increases collagen and elastin

Intramuscular injections bypass this entirely delivering B12 directly into the bloodstream at 100% bioavailability

Genetics, gut microbiome composition, baseline GI health, concurrent medications, and individual amylin receptor sensitivity all contribute to this variation

[3] For confirmed deficiency with neurological involvement: 1 mg IM on alternate days until no further improvement, then 1 mg every two months urgent initiation is essential to prevent irreversible nerve damage

At DOZA before starting history assessment and optional baseline labs (TSH, lipase, eGFR)