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In all the five studies, an oral (Delpres study via sublingual route) dose of 1000 g vitamin B 12 was used with the exception of Kuzminskis study, whereby a higher dose of 2000 g was used

When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects

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