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Injectable B12 may deliver better results because: Direct bloodstream access bypasses digestive absorption barriers Higher bioavailability allows for less frequent dosing Consistent therapeutic levels maintain steady benefits [6] ‍ Disclaimer: The FDA does not approve compounded medications for safety, quality, or manufacturing

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Although low vitamin B12 levels did not have a significant predictive value for EDS, there was a significant correlation between low vitamin B12 levels and EDS in obese patients (BMI ≥ 30) (OR = 3.996, 95% CI = 1.006–15.876, p = 0.039)