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I tried oral methylcobalamin twice and each time I had very bad reactions

Older adults are another group we monitor closely, as aging can naturally decrease the bodys ability to absorb vitamin B12

They are: Contaminated or mislabelled compounded products research-grade vs pharmaceutical-grade manufacturing matters enormously Incorrect dosing without clinical oversight, patients routinely underdose (no effect) or overdose (unknown risk) Drug interactions particularly relevant if you are on GLP-1 therapy, immunosuppressants, or anti-inflammatory medications