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What Remains Uncertain The 2026 Cureus meta-analysis found no significant overall effect on total testosterone levels (SMD: 0.10

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A seminal cost analysis published in Canadian Family Physician (2001) projected that switching patients from intramuscular B12 injections to oral supplements could save between $2.9 million and $17.6 million depending on the population studied with one Ontario analysis estimating $14.5 million in savings for 110,000 elderly patients

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