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Policy Vitamin B12 deficiency, sometimes called cobalamin deficiency, happens when your body is either not getting enough or not absorbing enough vitamin B12 from the foods you eat

For anti-aging and longevity optimization, the priority shifts from acute metabolic correction to long-term mitochondrial maintenance and senescence suppression

Common side effects include gastrointestinal symptoms (nausea, vomiting, diarrhoea), which may lead to dehydration and electrolyte imbalances more rapidly in older adults

Medication delivery If approved, the PAP typically provides up to a 120-day supply at a time