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When stratified by administration route, the mean percentage changes were: Intramuscular (IM): 307% Oral: 285% Sublingual: 199% IM administration showed the highest average B12 increase, although oral and sublingual routes also yielded substantial improvements, supporting their use as effective and less invasive alternatives
Important values are: 10 Total vitamin B12 Holotranscobalamin (Holo-TC) the active B12 Methylmalonic acid (MMA) indicates whether your cells are getting enough B12 Doctors can use these values to determine precisely whether and to what extent a deficiency exists
Apart from injections, oral vitamin B12 supplements are also available but are less commonly prescribed for those with pernicious anaemia due to absorption issues
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