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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [5154]

If any of these symptoms occur, its important to consult a healthcare provider promptly

If understanding the practical differences between injections, lozenges, drops, and tablets matters to you (and it should), youll need to do that research yourself

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