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As our results showed, there is no difference between them in terms of efficacy, but in terms of patients tolerance, advantages, and disadvantages of each route, the sublingual route is preferred over IM and oral routes

Other foods that are high in vitamin B12 include: 3 ounces cooked clams without shells: 17 mcg 3 ounces wild cooked oysters: 15 mcg 1/4 cup fortified nutritional yeast: 8 to 24 mcg 3 ounces Atlantic salmon or canned tuna: 2.5 mcg 1 cup 2% milk: 1.3 mcg What Is The Fastest Way To Fix B12 Deficiency

These vitamins help regulate your sleep-wake cycle, reduce anxiety, and support brain function

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5 Conclusion This systematic review and meta-analysis indicate that sublingual and oral vitamin B12 administration provide efficacy comparable to intramuscular injection in improving serum cobalamin levels and reducing hyperhomocysteinaemia