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This decline has been linked to diseases such as cognitive demise and adverse brain health, cancer, and metabolic diseases such as thyroid disease, diabetes, obesity, and heart disease

While it might seem like a 1000 micrograms (mcg) B12 shot is equal to a 1,000 mcg B12 supplement, its not that simple

Additionally, Crohns disease, celiac disease, and other intestinal issues increase the odds of developing a B12 deficiency

Testing also gives you a baseline to measure against later

It is pharmacologically real, not a placebo step, but it is placed low so the gut can adapt before the larger-effect doses arrive

If you have seen those two mixed up on forums, the source is unreliable