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Your provider should track tolerance, side effects, and nutrient status monthly

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Sublingual preparations : Designed to dissolve under the tongue, though these have no proven advantage over standard oral tablets [14] Intramuscular injections : Hydroxocobalamin injections are used when oral absorption is impaired For those with pernicious anaemia or malabsorption conditions, oral supplementation is often ineffective, and lifelong B12 injections are required

This increased convenience may translate to improved medication adherence, a crucial factor in achieving long-term weight loss and glycemic control