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Routes of Administration: Oral vs
Vitamin B12 injections have also been shown to have potent anti-inflammatory properties, helping to increase energy and reduce fatigue.
In general cyanocobalamin isn't retained as long as hydroxocobalamin so maintenance dosing tends to be more frequent - think in the states they tend to do loading doses as daily for one or two weeks followed by weekly for a few months and then monthly
It can also occur with people who have bariatric surgery
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