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It is usually present in animal products, especially dairy products, poultry, eggs, and fish

Conditions affecting the gastrointestinal tract can impact B12 absorption

Sublingual administration, which bypasses the gastrointestinal tract, appears to be equally effective as IM injections while being less invasive and more cost-efficientparticularly in patients with atrophic gastritis, post-gastrectomy status, or conditions that impair intrinsic factor-mediated absorption, where long-term intervention is often required

In fact, oral supplementation is just as effective and carries the added benefi ts of lower cost and ease of administration.*[2,3]

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