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doi: 10.1073/pnas.0402763101

When stratified by administration route, the mean percentage changes were: Intramuscular (IM): 307% Oral: 285% Sublingual: 199% IM administration showed the highest average B12 increase, although oral and sublingual routes also yielded substantial improvements, supporting their use as effective and less invasive alternatives

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Factors like low stomach acid or certain health conditions can prevent your body from actually using the B12 you consume

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