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Inclusion criteria were: (a) RCTs

When stratified by administration route, the mean percentage changes were: Intramuscular (IM): 307% Oral: 285% Sublingual: 199% IM administration showed the highest average B12 increase, although oral and sublingual routes also yielded substantial improvements, supporting their use as effective and less invasive alternatives

Oral B12 is broken down by stomach acid before it absorbs

Normally a total of 3-4 laser treatments are provided approximately 2-4 weeks apart (Q switched Yag interval is 2-3 weeks apart and Clear and Brilliant interval is 3-4 weeks) apart

Some vegan options include tempeh, fortified cereals, nondairy milks, and shiitake mushrooms

Choline is required to package fats into lipoproteins so they can be transported out of the liver and used for energy