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Nat Rev Rheumatol (2009) 5(10):5727

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I don't use Tylenol or Advil because it is too aggressive on the liver

As a general rule, IM is favored when the goal is rapid correction of a clinical deficiency, when the patient has difficulty absorbing B12 through oral or sublingual routes, or when a provider wants predictable peak serum levels

Isnt this odd?- And some would say ridiculous or even immoral

Deficiency is more common than many people realise particularly in those following plant-based diets, individuals with gastrointestinal conditions affecting absorption, and older adults