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it can be taken as a pill or under the tongueis when there is a deficiency that can be caused by pernicious anemia, celiac or Crohns disease, or weight loss procedures such as gastric bypass surgery, which interferes with the bodys ability to extract vitamins from food

Munib may recommend bloodwork to confirm deficiency and establish baseline levels, though testing isn't always necessary for patients with clear symptoms or known absorption issues

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There is no good evidence for this, and it is worth being cautious about that framing