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Oral formulations deliver the medication across your stomach and intestinal lining more gradually, reducing the peak blood levels that trigger nausea

Oral versus intramuscular administration of vitamin B12 for the treatment of patients with vitamin B12 deficiency: a pragmatic, randomised, multicentre, noninferiority clinical trial undertaken in the primary healthcare setting (Project OB12)

Nearly all of the participants were from comparable backgrounds and resided in the same region of the world

Escalating symptoms despite standard management may require protocol modification

Formulations can derive this ingredient from grains like barley, wheat and rye

Apr 15 2020;12(4)doi:10.3390/nu12041098 Prez-Snchez C, Aguirre M, Ruiz-Limn P, et al