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doi: 10.1200/jco.2017.72.7735
This product is not recommended for use when selenium intake from pasture is high or provided by other means (such as top dressing, vaccine, pellets or selenium drenches)
The practical conclusion: for most people with mild low B12 or dietary gaps, daily methylcobalamin in a quality multivitamin is a better long-term strategy than chasing energy shots
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Most adults need 2.4 mcg per day, but vegetarians, vegans, masters athletes over 50, and high-volume endurance athletes are at elevated deficiency risk