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Although vitamin B12 injections can increase energy and improve quality of life for individuals with a deficiency, patients whose vitamin B12 levels are normal will not have improved health from this treatment.

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Once pathological aetiologias have been discarded, it is relevant to question the supply and status of vitamins and minerals and to provide nutritional advice first aiming at promoting balanced food choices, then focusing on the use of vitamin and mineral supplementation

Weight-based calculations

Key red flags include pregnancy (no safety data, so contraindicated), active cancer (caution due to growth effects), autoimmune disorders, or organ failure