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Consistency for workout performance: Reliable, steady B12 levels help reduce fatigue during exercise, so you can push harder on your diet program
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(50 mg IM twice weekly slowed functional decline by ~43% in early-stage ALS.) Clinical safety of ultra-high-dose methylcobalamin in patients with amyotrophic lateral sclerosis: Open-label extension (long-term safety data)

For women with confirmed B12 deficiency due to malabsorption or pernicious anaemia, intramuscular hydroxocobalamin is the first-line treatment in the UK