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The honest version of the economic argument is: we have an evidence gap because the incentives are broken

Emphasizing adjunct role supporting conventional treatments

B12 injections are also available through online providers like AgelessRx, which connects users with licensed medical prescribers. After a virtual visit, these services may send prefilled syringes or vials with instructions, often using the active form methylcobalamin, which is considered highly bioavailable. Some mobile health services send registered nurses to homes or offices to administer B12 injections, combining medical oversight with convenience for busy individuals

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