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It is used : - by intramuscular injection to make up for vitamin B12 deficiencies that the body no longer absorbs, in people suffering from Biermer's disease or Imerslund's disease, or who have had their stomach or part of their intestine removed
Frequency depends on your needs
Sublingual forms dissolve under the tongue, with the idea that some B12 enters through the mouth's membranes instead of the digestive tract
cost and accessibility are also significant considerations due to high prices and availability issues
The answer is that it really depends, but in my experience, MOST patients are fine to use subcutaneous injection-sized needles
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