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I know that there are studies that show that sublingual B12 is as good as B12 injections (7) but my own experience suggests that this is NOT the case
Both cyanocobalamin and other forms of cobalamin can trigger these reactions, and the risk appears higher with parenteral (injection) administration compared to oral supplementation Khatrawi2022Sajan2023Ullah2018+1 MORE
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How often will I need B12 injections
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