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Most evidence so far is preclinical (cells/animals), but the story is consistent: free up resources systems run smoother

Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of medicines best kept secret. 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (019%), but the majority of doctors still remain unaware of this treatment option (61%)

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Unlike fat-soluble vitamins, B12 is absorbed in the small intestine through a complex process that depends on intrinsic factora protein made in the stomach

Although biotin occurs in the body naturally, genetic disposition, long-term antibiotic use, or prenatal supplements may cause our reserves to dip

Advantages: longest shelf life in powder form, ability to choose your concentration, typically the most cost-effective option