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Treatment should start urgently and should not be delayed for laboratory confirmation if neurological features strongly suggest B12 deficiency
However, for B12, if any part of that complex digestive process is compromised especially the intrinsic factor or the absorption sites in the intestine then a significant portion of the B12 from a tablet might never reach your bloodstream
The FDA and the U.S
These shots are delivered directly into the bloodstream which bypasses the gastrointestinal system and ensures that the body gets a sufficient amount of vitamin B12 stores to function optimally
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