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Since vitamin B12 is water-soluble, any excess is naturally eliminated by the body, significantly lowering the risk of toxicity

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If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended (10, 13)

However, certain individuals cannot absorb enough through diet alone, even with adequate intake

That subtle onset means many people suffer unnecessarily for years before getting proper treatment

When paired with strength training and adequate protein, it does not appear to cause muscle loss