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Choosing between them isn't about efficacy rankings

Clinical trials with over 10,000 participants showed cancer incidence rates comparable to control groups, though rodent studies identified thyroid C-cell tumors leading to FDA warnings

You can buy injectable B12 and do it yourself, or find a nurse friend or similar to inject you daily

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9 Dietary And Lifestyle Considerations Avoid Prolonged Sedentary Periods and Exercise Regularly Physical activityeven small amountsencourages return of venous blood from the legs back to the heart by activating the pumping action of the musculature (Bergan 2006)