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Blood 128:3744 Mikhael J, Richardson P, Usmani SZ, Raje N, Bensinger W, Karanes C et al (2019) A phase 1b study of isatuximab plus pomalidomide/dexamethasone in relapsed/refractory multiple myeloma

B-12 occurs naturally and commonly in many foods which you probably already include in your diet

For instance, you need to take vitamin D at meal times, but taking B12 with food can limit the amount that reaches your bloodstream

Oral Supplements Cyanocobalamin tablets (common) Methylcobalamin (easier to absorb) B12 sprays or dissolvable tabs Pros: Easy to take No needles Affordable Cons: Absorption varies Not ideal for GI conditions Food Sources Liver (highly concentrated) Eggs Red meat Cheese Shellfish and fish Plant-based