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This fact is related to the lack of randomized study fulfilled the criteria of evidence based-medicine in this field of medicine
That said, there are plenty of people who have used this version with some positive effects
Known for its ability to boost energy, improve metabolism, and support red blood cell production, Hydroxycobalamin helps combat fatigue while promoting overall wellness
Essentially the injection may be a temporary measure to fix levels
PMID 31490017
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