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(5) Routine dietary biotin generally does not reach interfering levels, but high-dose cosmetic or therapeutic supplements can

Age-related changes include reduced gastric acid production (hypochlorhydria or achlorhydria), which impairs the release of B12 from food proteins

[23] Medicine..com

Like other forms of TRT, injectable testosterone can suppress natural testosterone production and sperm production, which may impact fertility markers

So, it's important to discuss your weight loss goals with your doctor

While many people obtain adequate B12 from their diet, some may find it necessary to supplement through injections