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Not everyone realizes absorption rates can vary a lot from person to person

To learn more about the benefits, risks, & differences of compounded medication substitutes you may visit the FDA Drug Shortage List & FDA Compounding Substitutions Information Page

5 Conclusion This systematic review and meta-analysis indicate that sublingual and oral vitamin B12 administration provide efficacy comparable to intramuscular injection in improving serum cobalamin levels and reducing hyperhomocysteinaemia

Some patients get paradoxical fatigue or headaches from B12 due to detoxification effects, in which case lower your dose

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