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doi: 10.1186/s40779-017-0122-9

In addition to B12 injections, oral B12 supplements (such as tablets, capsules, or sublingual formulations) and B12-fortified foods may be used to address vitamin B12 deficiency
According to the American Autoimmune Related Diseases Association, symptoms of pernicious anemia in adults typically do not begin to show until after age 30

10.1038/s41392-022-01257-8 50 WuX.WeiS.ChenM.LiJ.WeiY.ZhangJ.et al (2022b)

Furthermore, the nutrient is crucial during pregnancy to reduce the risk of birth defects of the brain or spine as well

"GLP-1 receptor agonists and gastrointestinal side effects: Mechanisms and management." Diabetes Obes Metab , 2022
