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Before committing to long-term supplementation, clinicians should establish the underlying cause of deficiency in particular, whether pernicious anaemia is present (assessed by testing for anti-intrinsic factor antibodies and, where appropriate, anti-parietal cell antibodies), as this determines the treatment route and duration

If you (or your older relative) has difficulty taking medications regularly, scheduled vitamin B12 shots are often the better option

At the cellular level, this improved microenvironment supports stronger roots, less flaking, and more natural shine

Alvarez M, et al

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