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The liquid form ensures faster absorption directly into the bloodstream, making it ideal for individuals with B12 deficiencies or those seeking enhanced vitality

For patients considering steroid use or testosterone-related therapy, lab work becomes even more important because anabolic steroids can suppress natural testosterone production, affect fertility, increase cardiovascular strain, and alter liver and lipid markers

Interestingly, of the 11 patients identified as being over treated in the January 2019 audit, 6 of these patients were diagnosed with pernicious anaemia after follow-on testing

In the UK, cyanocobalamin is commonly used for oral supplementation due to its stability and effectiveness, whilst hydroxocobalamin injections are the preferred treatment for confirmed deficiency, particularly in pernicious anaemia or malabsorption conditions