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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]

In simple words, 90471 is an assigned CPT code to the administration of a single vaccine to a patient
Efficiency of the sublingual route in treating B12 deficiency in infants

2020;10(8):e01726

Storage conditions must be kept optimum to keep it stable and sterile

de Jongh, R
