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Sublingual administration, which bypasses the gastrointestinal tract, appears to be equally effective as IM injections while being less invasive and more cost-efficientparticularly in patients with atrophic gastritis, post-gastrectomy status, or conditions that impair intrinsic factor-mediated absorption, where long-term intervention is often required
For people who cannot absorb B 12 , the condition cannot be prevented
doi: 10.1093/ajcn/55.2.602s
It may sound high, but in reality, only a small percentage is absorbed
However, it can also be given subcutaneously
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