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In the UK, hydroxocobalamin is the preferred licensed form for intramuscular injection
It's a no-win situation unless you break this vicious circle and supplement the much-needed vitamins
Bell, D
For patients without absorption disorders, high-dose oral supplements of 1,000 to 2,000 mcg daily have been shown to be comparably effective at correcting mild to moderate deficiency at lower cost and greater convenience.
However, it never received FDA approval because the results, while positive, weren't dramatic enough to meet regulatory thresholds for an obesity drug
PubMed PMID: 33645410
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