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Even at doses far exceeding the standard 10 mcg/kg range (scaled to human-equivalent doses of roughly 200-800 mcg/day for a 70-kg adult), researchers have not observed pathological angiogenesis, tumorigenic signaling, or behavioral toxicity 1

Thats where Vitamin B12 injections come in

PubMed alternative-therapies.com Not FDA approved and appears on lists of substances of concern for compounding and anti doping (WADA S0 unapproved class)

B-12 injections have been shown to help reduce fatigue, which can positively impact your overall motivation and ability to stick to a healthy lifestyle

Foods that improve circulation, like cayenne pepper and turmeric, can help