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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]

B12 injections are typically used to treat vitamin B12 deficiency, which can cause fatigue, weakness, and other symptoms

However, unnecessary supplementation offers no added benefit if your B12 levels are already normal

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