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The frequency of B12 injections can vary based on individual needs, current B12 levels, and specific health goals

Conclusion: Sublingual and oral B12 supplementation appear to be as effective as intramuscular (IM) injections in improving cobalamin status and reducing homocysteine levels

The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance

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