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Three key trials have been comparing IM and oral administration modalities for B12 replacement in small patient groups with varying causes of B12 deficiency

doi: 10.1038/s41598-020-76233-9

Long-term vitamin B12 deficiency of greater than 3 months may result in irreversible degenerative lesions of the spinal cord (CNS)
Food and Drug Administration Primary regulatory Apr 22, 2026 accessed Jul 16, 2026 FDA compounding-risk page whose withdrawn-nomination table includes GHK-Cu for injectable routes
