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Some supplements may help to slow the loss of muscle as we age, although some have shown benefit only if combined with resistance exercise, and not all supplements promoted for slowing muscle loss seem to help
10.1089/acm.2006.12.881 Summary Keywords vitamin B12, efficacy, bioavailability, therapeutic approaches, meta-analysis, cobalamin Citation Mazur M, Ndokaj A, Salerno C, Vallone J, Ardan R, Bietolini S, Carrouel F, Wilk A, Sarig R, Ottolenghi L and Bourgeois D (2025) Efficacy of sublingual and oral vitamin B12 versus intramuscular administration: insights from a systematic review and meta-analysis

The schedule starts with daily shots for a week, then weekly for a month, and then monthly to keep it up
Their digestive system simply cannot process the vitamin, making injections a medical necessity
