is oral vitamin b12 as effective as intramuscular injection Efficacy of different routes of supplementation for the treatment of patients with vitamin B12 deficiency: A systematic review and network meta-analysis Vitamin B12 - PMC
Description
Gel formulations of vitamin B12 are somewhat new and applied into the nostrils (intranasally)

When you are deficient in vitamin B12, your body does not make enough red blood cells

Promotes heart health by managing homocysteine levels in the blood
These formulations are typically unlicensed in the UK and must be supplied as MHRA-regulated 'specials'
