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Taking an oral vitamin B12 supplement will only result in a 30% absorbsion whereas injecting intramuscularly bypassing the digestion process is widely recommended for quick results and 100% Bioavailability Up to 65% of people dont get enough B12, a large number of these are 50 years of age, vegetarian/vegans, have celiac disease or other digestion problems

Lee, Zee-Won (2005)

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Many times there may not be much we can do about changing those medications, and if we cant B12 levels need to be considered/monitored especially if new symptoms arise