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The BSH recommends that treatment decisions should be based on clinical presentation rather than borderline laboratory values alone

However , scientific proof for this mainly applies to people who already have a deficiency

In severe cases, doctors may recommend hydroxocobalamin injections for the rest of the persons life

Moreover, the administration of these peptides to healthy individuals for anti-aging or performance enhancement introduces additional ethical and safety considerations, as the long-term effects of chronic exposure in otherwise healthy populations remain unknown

The higher end of the spectrum comes into play for the study of chronic inflammation calls over longer periods

Injections produce faster, more reliable results than oral forms for treating true deficiency