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We need more evidence to know if the pills are as effective as the shots over time, though some research suggests they work, especially when it comes to sublingual supps
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Some researcher communities report using oral or sublingual routes
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In the UK, B12 replacement is typically administered via intramuscular hydroxocobalamin injections for patients with confirmed deficiency, particularly those with malabsorption or pernicious anaemia, as specified in the BNF and NICE CKS guidance on B12 and folate deficiency anaemia
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