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The process is relatively painless, with minimal side effects, such as mild redness or swelling at the injection site

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Although we performed multivariate adjustments, residual confounding may persist due to unmeasured factors such as dietary habits (e.g., irregular intake of animal-derived foods or B12-fortified products), unrecorded use of nutritional supplements, and genetic predispositionsparticularly MTHFR polymorphisms, which are known to influence homocysteine metabolism and folate cycling, thereby potentially altering the functional demand for vitamin B12

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High-dose oral B12 can even help overcome mild absorption problems, as some of the vitamin is absorbed passively

It also supports energy metabolism and helps the body manage stress effectively