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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

Biochem Soc Trans 32 : 812816 Clemmons DR (2004) The relative roles of growth hormone and IGF-1 in controlling insulin sensitivity

You may supplement vitamin B12 in your diet with CVS Health Vitamin B12 Tablets 1000mcg

The answer is not one-size-fits-all, but understanding how each option works makes the choice much clearer