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Sublingual administration, which bypasses the gastrointestinal tract, appears to be equally effective as IM injections while being less invasive and more cost-efficientparticularly in patients with atrophic gastritis, post-gastrectomy status, or conditions that impair intrinsic factor-mediated absorption, where long-term intervention is often required

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3 studies scored six, indicating medium-quality studies with a moderate risk of bias

(3) The following are appropriate practitioners in relation to any prescription only medicine (a)a doctor