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Conclusion: Sublingual and oral B12 supplementation appear to be as effective as intramuscular (IM) injections in improving cobalamin status and reducing homocysteine levels

Also, a similar protocol was successful in the therapy of the other fistulas, that is, gastrocutaneous (Skorjanec et al., 2009), esophagocutaneous (Skorjanec et al., 2015), vesicovaginal (Seiwerth et al., 1997

Vitamin B12 is mainly available in animal foods like meat, fish, eggs, dairy products, and nutritional yeast

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