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Options for Vitamin B12 treatment are Vitamin B12 oral medicine, Vitamin B12 intramuscular injections, Vitamin B12 nasal gel, and Vitamin B12 nasal spray

It all goes down to absorption

AOD-9604, sometimes called the fat-burning peptide, showed limited promise in animal studies but has failed to demonstrate consistent results in people, leading the FDA to explicitly state it is not an approved treatment (FDA on unapproved drugs)