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PMID 30306544

[13] Sublingual or oral spray formulations are popular alternatives, though evidence does not show they are significantly more effective than standard tablets for most people with normal absorption

However, doctors are now cautioning people against taking these medications before undergoing surgery or a procedure that requires them to be sedated

The First Step Is Always A Test Before you even think about getting an injection, theres one non-negotiable first step: confirming your B12 levels with a proper test

Rizzo G, Lagan AS, Rapisarda AM, La Ferrera GM, Buscema M, Rossetti P, Nigro A, Muscia V, Valenti G, Sapia F, Sarpietro G, Zigarelli M, Vitale SG

This is because B12 plays a role in the production of neurotransmitters, the chemicals in the brain that regulate mood and emotional well-being