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Conclusion B12 injections and tablets are both replacement routes, not competing wellness products

Reported benefits (per available research): FDA-approved, clinical-trial-supported reduction of excess visceral abdominal fat in HIV-associated lipodystrophy, the only indication with robust human RCT evidence behind it Studied in a randomized, placebo-controlled trial for possible support of executive function and cognitive performance in healthy older adults and adults with mild cognitive impairment (Baker et al., 2012) Proposed, but far less rigorously studied in healthy or bodybuilding populations, to support lean body mass and body composition changes through GH/IGF-1 axis stimulation

Tesamorelin is for research that wants full GH axis activation with all the downstream effects

BPC-157 and testosterone are two of the most discussed topics in hormone optimization and peptide therapy