b12 spray vs injection Injections vs. Oral Supplements: Which Is Better? Vitamin B12 Tablets vs Sprays:

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Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)

Maintaining protein intake of 0.8-1.0g per pound body weight and continuing resistance training helps preserve muscle mass during treatment