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B12 shots are not universally better than pills

Vegetarians may obtain B12 from dairy products and eggs, but vegans, who exclude all animal products, are particularly at risk

Researchers have found that children with ASD may show metabolic patterns associated with B12 deficiency

TB-500 Overview: National Center for Biotechnology Information (2026)

Methylcobalamin can be the better choice for patients with the MTHFR gene variant, certain liver or kidney concerns, or anyone who has had cyanocobalamin shots and didn't feel a noticeable response