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So it may be that the liver has to work extra hard to detoxify the body when its low 0on B12, even when there's no liver damage

Effects beyond muscle While muscle growth receives the most attention, IGF-1 LR3 affects multiple tissue types throughout the body

Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

This is a dietary supplement, however, not a medication