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While oral supplements must navigate the complex digestive processwhere absorption can drop as low as 1-2% for some individualsinjections deliver the full dose directly into your system

To prevent it, wait a full 10 seconds after injecting before removing the needle

Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year

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