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A single-center, double-blinded, randomized controlled study to evaluate the relative efficacy of sublingual and oral vitamin B-complex administration

Clinical assessment and full blood count showing macrocytic anaemia are also important, though neurological symptoms can occur without haematological changes

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That matters more than it sounds: the injectable form sidesteps the gut absorption issues that make B12 pills hit-or-miss for the very people who tend to need it most