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Third, long-term adherence and safety of the combination therapy need to be further addressed

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B12 injections may be the better choice if you: Have severe, diagnosed B12 deficiency with neurological symptoms Have pernicious anemia requiring medical supervision Have had gastric bypass surgery affecting all absorption Prefer less frequent dosing and don't mind needles Have a medical condition requiring injectable B12 specifically Who Should Choose Oral Spray

Kahal H, Aburima A, Ungvari T, Rigby AS, Coady AM, Vince RV, et al