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OTC Vitamin B12 Options Prescription vitamin B12 injections and over-the-counter oral supplements are two ways to treat B12 deficiency

They are not recommended for patients with known B12 sensitivity or certain liver conditions

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And another thing that you had mentioned is most of us don't have the right gut microbiome to make this, which is really unfortunate with so many of us not having very healthy guts, not diverse, different quality of microbes in our gut, even if you are eating a lot of these foods and vegetables or these pomegranates and nuts, you're just probably not making any urolithin A to get a benefit at all