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There are also under the tongue and intranasal methods that can be used once B12 levels are normalized

18 Table 4 Time to Improvement of Abnormalities in Vitamin B12 Deficiency After Initiation of Treatment A 2005 Cochrane review involving 108 patients with vitamin B 12 deficiency found that high-dose oral replacement (1 mg to 2 mg per day) was as effective as parenteral administration for correcting anemia and neurologic symptoms

Pre-pubertal tumors are very rare, generally benign, and rarely associated with distant metastases

References 1 BentleyR.ChasteenT

What is the role of tiaminal B12 injection in vitamin B12 supplementation

Researched alongside CJC-1295 as a longer-acting alternative