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Users should assess progress through objective measurements (body composition analysis, circumference measurements, progress photos) rather than scale weight alone, as fat loss may be accompanied by muscle preservation or gain

Liver function tests (AST, ALT, GGT) and triglyceride levels indicate hepatic lipid metabolism and choline demand

Other symptoms of vitamin B12 deficiency may include problems with balance, depression, confusion, dementia, poor memory and soreness of the mouth or tongue

Additionally, reduced stomach acid production in older adults limits B12 absorption from oral supplements

Some people simply dont absorb B12 well through their gut, so the injection route works better for them