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Vitamin B 12 is also available in the form of pills that dissolve under the tongue, and as a nasal spray and nasal gel

Intramuscular injection bypasses this entirely, delivering hydroxocobalamin directly into the muscle where it is absorbed immediately and completely

One report of severe chest tightness in the 50 mcg/kg IV arm was deemed possibly related

If that magnitude of benefit doesn't justify the cost and inconvenience, MIC B12 injections are not the right intervention

Animal products such as fish, meat, poultry, eggs, milk and milk products contain vitamin B12 naturally Plant foods do not contain vitamin B12 but fortified breakfast cereals are a source of vitamin B12 with high bioavailability for vegetarians Some nutritional yeast products also contain vitamin B12 Strict vegetarians are at a higher risk of developing vitamin B12 deficiency