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Forms of B12 supplements available include: Cyanocobalamin : The most common and cost-effective form in over-the-counter supplements Methylcobalamin : A naturally occurring form, often marketed as superior though evidence for clinical advantage is limited Hydroxocobalamin : The preferred form for intramuscular injection in the UK, used therapeutically for pernicious anaemia and confirmed deficiency [4] Dosing considerations depend on the indication

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doi: 10.1093/rheumatology/keq108 183 AngiolilliCBaetenDLRadstakeTRReedquistKA

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Growth hormone is a potent driver of lipolysis (fat breakdown) and supports muscle protein synthesis, satellite cell activation, and lean mass maintenance (11)