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Oral absorption is considered too undependable to rely on in patients with pernicious anemia or other conditions resulting in malabsorption of vitamin B 12

Their inclusion should not be viewed as an endorsement of the content of websites, or of any treatment or product, by the PDQ Integrative, Alternative, and Complementary Therapies Editorial Board or the National Cancer Institute

This is a fantastic alternative for those who prefer not to administer injections

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For example, the pituitary gland production of ACTH (which stimulate the adrenal to make cortisol) can be inhibited

Comparison of sublingual and intramuscular administration of vitamin B12 for the treatment of vitamin B12 deficiency in children