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[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections

25 Castelli MC, Friedman K, Sherry J et al (2011) Comparing the efficacy and tolerability of a new daily oral vitamin B12 formulation and intermittent intramuscular vitamin B12 in normalizing low cobalamin levels: a randomized, open-label, parallel-group study

These injections have been shown to boost energy, enhance mood, increase fat metabolism, improve sleep, strengthen and improve quality of hair and nails, as well as the skin

Id encountered this before a few years back and I know other members have too

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Diet and Exercise This is more complicated than it sounds, and dismissing it is a mistake