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A more evidence-based way to evaluate whether something is helping is to track measurable outcomes with your clinician (for example, symptoms tied to confirmed deficiency, or objective metrics like body weight, waist measurements, and lab work when appropriate)

As we get older, this absorption problem compounds: the body's ability to absorb nutrients through digestion decreases progressively, and some adults become completely unable to absorb B12 orally regardless of dose

However, the absence of formal clinical trials means long-term safety cannot be guaranteed

Cyanocobalamin should only be administered once a diagnosis has been fully established to avoid masking symptoms of subacute degeneration of the spinal cord