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A complete blood count and B12 blood test will accurately determine your levels and help provide a clear look at what the problems may be

Injections are more effective for those with absorption issues or severe deficiency, but oral supplements work well for most people with mild deficiency and normal absorption

Cell 16 , 984996 (2005)

doi: 10.1016/j.beem.2005.07.004

B-12 injections bypass the digestive tract and deliver the vitamin directly into the bloodstream, ensuring quicker and more effective absorption

Desnutrin, an adipocyte gene encoding a novel patatin domain-containing protein, is induced by fasting and glucocorticoids: Ectopic expression of desnutrin increases triglyceride hydrolysis