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Missing doses creates gaps in coverage that affect both blood sugar control and appetite suppression

High-dose supplementationparticularly intramuscular injections that can deliver 1,000 micrograms or morecreates substantially elevated serum B12 levels compared to dietary intake, which may more readily trigger these bacterial changes, though comparative studies between different forms are limited

These shots are delivered directly into the bloodstream which bypasses the gastrointestinal system and ensures that the body gets a sufficient amount of vitamin B12 stores to function optimally

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M.et al (1978)