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When levels fall below the clinical threshold, men develop symptoms of hypogonadism that can significantly impact quality of life

Although these studies report promising results regarding the sublingual route, it is important to note that almost all of them only include patients with mild, subclinical B12 deficiency, making it difficult to extrapolate their outcomes for patients with severe deficiency or malabsorptive states

Intramuscular B12 injections produce faster results than oral supplementation, with reticulocytosis typically beginning by day 34 of treatment

The compounding effect of improved liver function and enhanced fat metabolism becomes more apparent

The body takes in as much as it needs and the excess is excreted in the urine, Dr Aravinda said