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More recent meta-analyses of prospective cohort studies in older adults have not found a relationship between blood cobalamin concentration or dietary vitamin B 12 intake and cognitive decline or dementia (80, 81)

Unfortunately, studies also show that people with and without hair loss have similar vitamin B12 levels, and that B12 supplementation doesnt improve hair loss outcomes

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Blood markers may change before nerve symptoms improve, and long-standing neurologic symptoms may take longer to assess

Injections are particularly good in these cases, as they bypass the tract for higher absorption rates than with food or oral supplements