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[16] Only small amounts of choline are synthesized by the human body, necessitating its intake from external sources

So I will say just three more things, two of which are touched on above: B12 is stored in the liver for when we need it and normal dietary intake does not need to be high, but if you cant absorb it you do need injections

These drugs can either be injected intramuscularly into muscle tissues for direct absorption for maximum benefit or taken orally like over the counter supplements too although these pills do not get absorbed as quickly as injectables do but they still prove beneficial

The cause is multifactorial: reduced caloric intake, slower gastric emptying, mild dehydration if water intake drops with appetite, and elevated B12 demand during a rapid metabolic shift