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Proton pump inhibitors (long-term) : Reduce vitamin B12 absorption

Poor Injection Technique : Improper injection sites or technique can cause local reactions and reduce absorption

In the states, cyanocobalamin is the gold standard and is easily obtainable but I suspected I was getting other issues so I switched first to methyl and then hydroxocobalamin which is more easily converted to the forms the body can uptake and use

The only way to increase testosterone is to reverse conditions that prematurely lower it (such as insulin resistance), take exogenous testosterone (such as TRT), or stimulate natural production from the testicles (such as hCG)

The Journal of Clinical Endocrinology and Metabolism

"Sam always has time for tee"