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The NIH Office of Dietary Supplements, citing Institute of Medicine recommendations, advises that it is advisable for those older than 50 years to meet their RDA mainly by consuming foods fortified with vitamin B12 or a supplement containing vitamin B12. This recommendation reflects the fact that 10 to 30% of older adults lose the ability to efficiently absorb naturally occurring B12 from food

Administration and Dosage Vitamin B12 Injection Administration Vitamin B12 injections are typically administered by healthcare professionals, although some individuals may be trained to self-administer the injections at home

It's a crucial distinction and a common source of frustration

In his office, he informed me that it appeared that my T levels were indeed below the average for a man of my age and that replacement therapy was indicated, if I desired