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Some UK laboratories also measure holotranscobalamin (active B12), which may be a more sensitive early marker of deficiency

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Neurobion Forte RF is typically administered as an intramuscular (IM) or intravenous (IV) injection under medical supervision

This delivery method also eliminates uncomfortable symptoms of eating and taking oral supplements, such as nausea, vomiting, and diarrhea

This can include older adults, pregnant or breastfeeding women, and people who are taking antacids long-term are taking the diabetes drug metformin have had bowel or stomach surgery are following a plant-based diet However, while vegans are more at risk of B12 deficiency, this doesnt mean you have to automatically take supplements if you follow a plant-based diet