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The goal here is to correct a specific medical problem

In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation

A 2019 study found sublingual B12 supplements (aka the kind you put under your tongue) were even more effective than B12 shots

Contraindications include: Sulfa allergy, due to potential sensitivity to methionine derivatives

[41] : 973974 Exclusive or near-exclusive breastfeeding beyond six months is a strong indicator of low serum vitamin status in nursing infants

Vitamin B12 binds to the protein in the foods we eat