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Whether this amount produces meaningful physiological effects compared to placebo has not been rigorously tested

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[11] Medical uses [edit] Vitamin B 12 deficiency Standard therapy for treatment of vitamin B 12 deficiency has been intramuscular (IM) or intravenous (IV) injections of hydroxocobalamin (OHCbl), since the majority of cases are due to malabsorption by the enteral route (gut)

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It preserves lean muscle mass during caloric restriction, a meaningful advantage over GLP-1 agonists like semaglutide