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In the first few paragraphs well address immediate reactions, less common systemic responses and what long-term use might mean

With oral supplements, it can take weeks to notice an improvement

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Gastrointestinal side effects (nausea, diarrhoea, constipation) are common with both treatments and may be compounded when used concurrently

Sublingual therapy for cobalamin deficiency as an alternative to oral and parenteral cobalamin supplementation

Um, another provider had said, Hey, I'm taking this