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Sterility: Keep the syringe and needle sterile

10.1016/j.ejphar.2016.04.004 [DOI] [PubMed] [Google Scholar] Staresinic M., Petrovic I., Novinscak T., Jukic I., Pevec D., Suknaic S., et al

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Your doctor will need to determine if it is safe to discontinue these medications in order to have the injection

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Sublingual absorption bypasses potential GI absorption issues the B12 absorbs directly through the mucous membranes under your tongue, avoiding the intrinsic factor pathway that can be impaired by low stomach acid, metformin use, or age-related GI changes