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Adequate levels support normal energy metabolism, which may help reduce fatigue related to deficiency

Patients reporting "significant energy improvement" rate injections as worth the cost at 2.4x the rate of those reporting "mild improvement." Comparison to alternatives: MIC B12 injections occupy a middle ground: more effective than oral supplementation for B12 repletion and subjective energy, less effective than prescription weight-loss medications for weight reduction, and significantly less expensive than GLP-1 agonists

Reasons Your B12 Shot Is Not Work 1

In other words, increase the number of androgen receptors, add testosterone, and you have a recipe for more muscle, he says

doi: 10.1111/jfbc.14039 285 UlrichK.JakobU