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4 Discussion This systematic review and meta-analysis provide a comparative evaluation of oral, sublingual, and intramuscular (IM) vitamin B12 supplementation in the management of B12 deficiency

B12 is naturally present in animal based foods such as: Chicken and lean red meat Fish and seafood such as oysters, clams, salmon, tuna and catfish Dairy products such as milk, cheese, yoghurt, plus vegan milk substitutes that are fortified Eggs Plus, fortified breakfast cereals

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This article examines what the evidence says about their effectiveness and what healthcare providers should know when considering them as part of a clinical program

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For a non-dietary cause, maintenance is usually one injection every two to three months for life