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Read it as what has been reported , not as what is known to be safe long-term

Many foods are fortified with artificial vitamin B12, such as non-dairy milks and cereals, but these are not always optimally absorbed, so vegans must still be proactive about making sure they are not becoming deficient

It is a vicious cycle

The more meaningful caveat is that they are unapproved compounded products, so formulation and quality vary by pharmacy which makes your choice of compounder a clinical decision, not a purchasing one

However, for most people with normal B12 levels, supplementation or injections do not significantly affect metabolism or fat loss