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B12 injections are indicated for patients with documented deficiency, including those with pernicious anaemia, malabsorption disorders, following gastric surgery, or with neurological symptoms suggesting B12 deficiency

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For individuals allergic to hydroxocobalamin, other alternative forms may be suitable, such as cyanocobalamin, methylcobalamin, adenosylcobalamin (also known as dibencozide), as well as oral vitamin B12 supplements which are available in various formulations like capsules

This mechanism supports studies in cellular rejuvenation, energy production, and metabolic resilience