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Excess B12 beyond storage capacity is simply excreted in the urine

Topical Creams You can think of topical creams and serums as your daily support system

Whilst B12 injections have a well-established clinical role in treating deficiency states such as pernicious anaemia, malabsorption syndromes, and certain dietary deficiencies, lipotropic injections lack the same evidence base and regulatory approval

Alternatively, 1000mcg can be given daily SC/IM for 2-7 days, followed by maintenance treatment

However, these are separate trials with different populations and cannot be directly compared with the same certainty as a head-to-head study