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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]

This shift isnt about chasing trends

Notify them if you observe significant changes in energy or if fatigue interferes with daily activities

At that time, however, there were no clinical trials or peer-reviewed research studies to support the claims

Everything is centralized

A consultation with a PlexusDx clinician can clarify whether your timeline and goals align with short-term use or whether sustained, genetically-guided therapy offers better outcomes