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High-dose supplementationparticularly intramuscular injections that can deliver 1,000 micrograms or morecreates substantially elevated serum B12 levels compared to dietary intake, which may more readily trigger these bacterial changes, though comparative studies between different forms are limited

Since the body cannot produce B12 on its own, it must be obtained through diet or supplements

Limited long-term human data prevents definitive safety conclusions, but decades of research suggest low risk with proper use

Once your treatment is over, you can go about your day

Men with confirmed low testosterone may benefit from testosterone replacement therapy following specialist assessment

Suggested Sources & Further Reading Sikiric, P