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Cyanocobalamin can be a prescription medication or an over-the-counter supplement, and is used to treat a variety of issues, including: Vitamin B12 Deficiency Pernicious Anemia, a condition where an autoimmune attack destroys the protein necessary for vitamin B12 absorption

The honest position is this: there is no head-to-head human bioavailability trial telling you which route is superior for this specific molecule, so the best route is not a settled question

If 5 mg per week is producing the weight loss outcomes you want, staying there is perfectly reasonable

Non-B12 causes of persistent symptoms with a high result When symptoms persist and the B12 is high, the symptoms may have nothing to do with B12 at all