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In an ideal situation, as your body uses B12, you are replenishing your B12 levels by eating foods that contain the vitamin, such as meat, fish, eggs, and dairy

We recommend future research directions to determine when to start with SL, IM, or oral vitamin B12 in different situations

Nutr 10.1093/ajcn/nqaa072 (2020)

Further research is needed to fully understand the efficacy and which patients might benefit most

In this procedure, a small sample of bone marrow is taken by inserting a needle into the pelvic bone just below the waist on either side of the spine

This approach helps minimize the risk of side effects such as nausea, vomiting, diarrhea, or bloating, and makes the treatment more sustainable