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Both methods were found to be equally effective in normalizing serum vitamin B12 levels and reducing markers of deficiency such as methylmalonic acid (MMA) and homocysteine (Hcy)

Science of the Total Environment, 801: 149709 Mandal A, Sinha C, Jena A K, Ghosh S, Samanta A (2010)

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What caught my attention was the cardiovascular research

These injections can help accelerate the breakdown of fats and carbs, supporting a healthier metabolic rate

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]