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Absolute contraindications (anaphylaxis history, uncontrolled hypertension, acute cardiac event) may preclude injection

Autoimmunity: Certain autoimmune conditions can cause pernicious anemia

Anyone unwilling to work with a licensed medical provider for ongoing monitoring

If there will be a significant delay in shipment of your orders, we will contact you via email

Treatment options can include: Supplements Oral B12 : Effective for most people, even those with mild malabsorption Sublingual B12 : Dissolves under the tongue, dominantly orally with some absorption passing into the bloodsteam Injectable B12: Used in specific cases, for example if someone is not responding to oral or sublingual supplements