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The same source also indicates that injectable B12 reliably restores levels when oral absorption is impaired

It is important to emphasize that these findings are derived exclusively from experimental and animal research, and comprehensive clinical studies are required to evaluate safety, effectiveness, and potential relevance in human cardiovascular conditions

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Adults Over 50: Age-related reduction in stomach acid and digestive efficiency lowers B12 absorption, so many older adults benefit from injections or high-dose oral supplements