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It does both
Not sure if this is mostly from change in diet or from the injections on their own, but it seems to be helping so far
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
Monitor patients response to treatment closely
Pharm Res 16, 14121416 (1999)
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