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But some bodies don't pull B12 from pills efficiently

In the UK, intramuscular hydroxocobalamin is the standard formulation due to its longer duration of action compared to cyanocobalamin

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For those without an absorption problem, research suggests that high-dose oral B12 supplements can be as effective as injections in raising and maintaining B12 levels

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While B12 can be stored in your liver for up to five years, you can become deficient (lacking) in it if you don't get enough