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The results showed that while both methods are effective, sublingual vitamin B12 is actually more efficient in raising b12 levels than injections , especially in patients with very low levels

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[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life

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Additionally, the surgery alters the digestive system, preventing the thorough absorption of nutrients from ingested foods

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Most patients do well with B12 injections, but its good to know about possible side effects, says a top expert in vitamin B12 therapy

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