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NHS treats Vitamin B12 deficiency with injections of Vitamin B12

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When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects

doi: 10.1016/j.bbih.2021.100266