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When stratified by administration route, the mean percentage changes were: Intramuscular (IM): 307% Oral: 285% Sublingual: 199% IM administration showed the highest average B12 increase, although oral and sublingual routes also yielded substantial improvements, supporting their use as effective and less invasive alternatives

Psychiatry 16 , 19 (2017)

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Durante las consultas, informe sobre cualquier efecto secundario nuevo, cambios en sntomas existentes, o preocupaciones sobre interacciones medicamentosas

But research has found that it still does a good job of controlling blood sugar and managing weight