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According to a Clinicians Guide in a University of Virginia report published in 2018, the condition may not fully resolve for up to eight weeks, however (8) Neurologic symptoms, like tingling, numbness in hands and feet, or dizziness, generally improve in six to 12 weeks, and severe neurological symptoms, like difficulty walking, may not ever resolve completely

Hydroxocobalamin is therefore the standard for vitamin B12 injections in many countries

Sublingual B12 Sublingual lozenges/drops are available as cyanocobalamin or methylcobalamin

Yes, but people with absorption issues (due to age, diet, or health conditions) may not get sufficient B12 from pills alone