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

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

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

These supplements come in different forms, such as injections, oral tablets, and liquid drops, catering to diverse preferences and needs

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