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This could be because they huffed a lot at the time, or they might have other health conditions (like anemia) or a pre-existing vitamin B12 deficiency

Those with confirmed deficiency may require parenteral (injectable) B12, as oral supplementation may be inadequate

Sublingual tablets and nasal sprays bypass some of the digestive steps, which may be helpful if you have absorption challenges or prefer not to swallow pills. Vitamin B12 injections deliver the vitamin directly into your bloodstream, bypassing the digestive tract and providing faster, more reliable absorption

These references reflect areas of academic investigation rather than intended outcomes