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and (5) body mass index (BMI) 1 SD less than the normal mean

When stratified by administration route, the mean percentage changes were: Intramuscular (IM): 307% Oral: 285% Sublingual: 199% IM administration showed the highest average B12 increase, although oral and sublingual routes also yielded substantial improvements, supporting their use as effective and less invasive alternatives

Recently, the increasing popularity of veganism has made B12 shots more popular than ever before