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Doctors might change this based on how well the patient is doing

We like methylcobalamin because it reduces homocysteine levels and generates a crucial methyl donor called S-adenosyl methionine (SAMe)

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These shots are administered via intramuscular injection (often referred to as IM) so there is no gastrointestinal metabolism, which also allows for increased nutritional absorption

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However, if a dietary supplement includes cobalt, for example inorganic cobalt or cobalt salts, then it would be considered prohibited