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Some research suggests that high-dose oral B12 supplements work just as well as B12 shots for raising B12 levels in people with a deficiency

For the overwhelming majority of individuals pursuing meaningful, sustained weight reduction, semaglutide (or the more potent tirzepatide if greater weight loss is the goal) is the evidence-backed choice

So if you have been off of b12 for a really long time and you're still getting a spike, then see scenario number two and three

Since sulfur-based supplements and foods can increase hydrogen sulfide gas, hydroxocobalamin can help bind and reduce the excessive hydrogen sulfide