is sublingual b12 as effective as injections Injection vs. Oral Supplements: Which One Do You Actually Need? – ELLEMES Medical Spa B12 Injections vs Pills: Richmond's

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Follow-up care also involves monitoring for symptoms related to B12 deficiency, such as fatigue, weakness, and neurological changes, to assess the effectiveness of treatment

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For example, in pernicious anemia (a major cause), antibodies attack the intrinsic factor (IF), a protein required for the absorption of B12, or the gastric parietal cells, which produce IF in the first place

[PubMed: 16461922] 59

These injections may lead to a weight loss of 2-4 pounds per week when combined with lifestyle changes [1]