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Choline and methionine support hepatic function, but if liver enzyme levels (ALT, AST) are elevated, your doctor may recommend baseline labs, lower initial doses, or concurrent dietary modifications (reduced fructose, increased omega-3 intake) before introducing the injections
Most side effects are transient and manageable via dose adjustment in research
K., Chin, J
If your body has trouble absorbing B12 through the digestive tract, injections are especially helpful because they deliver the vitamin directly into your bloodstreambypassing the gut entirely
