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More importantly, many people have underlying issues that block B12 absorption, regardless of what they eat

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Consider that immediate can range from a few hours to a day post-injection, depending on the individuals metabolism and overall health

Cyanocobalamin is given through intramuscular or subcutaneous injections

Veterinarians may prescribe vitamin B12 injections to animals with a deficiency, or for certain illness or disease like anemia

Oral Supplements Cyanocobalamin tablets (common) Methylcobalamin (easier to absorb) B12 sprays or dissolvable tabs Pros: Easy to take No needles Affordable Cons: Absorption varies Not ideal for GI conditions Food Sources Liver (highly concentrated) Eggs Red meat Cheese Shellfish and fish Plant-based