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Older adults with food-cobalamin malabsorption , where the stomach acid needed to release B12 from food has dropped with age

A number of other studies have also suggested improved accuracy and results with ultrasound-guided injections, however the evidence is not overwhelming or irrefutable

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(2021) Effects of vitamin B12 supplementation on cognitive function, depressive symptoms, and fatigue: a systematic review, meta-analysis, and meta-regression