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BMJ article on ethical approval from 2009 bmj.com/content/338/bmj.b450 The letter just says in line with guidelines

This mechanism is similar to the role of HGH in regulating energy metabolism and fatty acid oxidation

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Oral Supplements Cyanocobalamin tablets (common) Methylcobalamin (easier to absorb) B12 sprays or dissolvable tabs Pros: Easy to take No needles Affordable Cons: Absorption varies Not ideal for GI conditions Food Sources Liver (highly concentrated) Eggs Red meat Cheese Shellfish and fish Plant-based