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B12 B12 injections are commonly prescribed and often for many years, to fulfil 2 key functions - reverse B12 deficiency, especially if severe

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For adults 60+, and especially anyone with reduced stomach acid, atrophic gastritis, post-bariatric surgery, or on metformin/PPIs, sublingual is the lower-risk default because at least some of the dose absorbs through the oral mucosa directly, bypassing the stomach

A clinician can run specific tests to determine if injections would work better for you

Vitamin preparation

I'm a 60 year old man living in the US