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What they probably didnt mention is that functional B12 deficiency can begin at levels well above the standard cutoff and that by the time serum B12 drops below the labs flagged range, neurological damage may already be underway

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Studies show this is because oral supplements are broken down by the digestive system , meaning only a small amount actually reaches your joints

It is not approved or intended for human or animal use, and any discussion of biological activity refers only to preclinical or in vitro research

In a recent review (2018) by the famous Cochrane Institute, it was reported that studies which had been published on this topic only provided very low-quality evidence that oral B12 is as efficacious as intramuscular B12