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Schijns W, Homan J, van der Meer L et al (2018) efficacy of oral compared with intramuscular vitamin B-12 supplementation after Roux-en-Y gastric bypass: a randomized controlled trial

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This bacteriostatic agent prevents microbial growth, making it essential if you plan to draw from the vial multiple times over a period

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There is some evidence that methylcobalamin may support cognitive function, especially in older adults with B12 deficiency