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According to clinical observations reported by Integrative Medicine of Los Angeles, an intramuscular B12 injection is absorbed more slowly over a longer time frame compared to an IV infusion, which delivers the nutrient immediately into the vasculature

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Given the high heterogeneity, further studies are needed to confirm the results

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Prevention strategies include maintaining adequate calories (minimum 1,200/1,500), prioritizing protein (80-100g daily), and taking biotin supplements (2,500-5,000mcg daily)