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4 Discussion This systematic review and meta-analysis provide a comparative evaluation of oral, sublingual, and intramuscular (IM) vitamin B12 supplementation in the management of B12 deficiency
Depending on individual needs and clinical appropriateness, related options may include B12 injection therapy, Glutathione Injection, NAD+ Injection, and Sermorelin
Pernicious anaemia: self-administration of hydroxocobalamin in the covid-19 crisis BMJ 2020;369:m2380

Intramuscular (IM): Less common but sometimes used for deep tissue or joint injuries
People who take certain medications may also be at risk of vitamin B12 deficiency, including, but not limited to, estrogen, H2 receptor antagonists, PPIs (Proton Pump Inhibitors), Chloramphenicol, and Metformin
