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Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy

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Whats more, a vitamin B12 supplement alone, or part as part of a vegan multivitamin both seem equally effective at maintaining proper vitamin B12 levels, as long as the dosage is adequate

The frequency of how often you have to take the shot will depend on the level of deficiency