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Oral supplementation is more affordable and accessible but may be ineffective in individuals with gastric malabsorption

It just increases the chance of scalp irritation

Burtscher, J., et al

Your dosage calculations become unreliable

Clinical Manifestations of Vitamin B12 Deficiency Although the classic hematologic expression of vitamin B 12 deficiency is a megaloblastic macrocytic anemia characterized by an elevated mean corpuscular volume and mean corpuscular hemoglobin, and a peripheral smear containing macroovalocytes and hypersegmented neutrophils, up to 28 percent of affected patients may have a normal hemoglobin level, and up to 17 percent may have a normal mean corpuscular volume

People Taking Certain Medications Some commonly prescribed medications can deplete B12 over time