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[13] Sublingual or oral spray formulations are popular alternatives, though evidence does not show they are significantly more effective than standard tablets for most people with normal absorption

We typically recommend: 1

They evaluate how this formulation may influence pathways associated with energy utilization and metabolic adaptation

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If you don't eat animal products, or you have a medical condition that limits how well your body absorbs nutrients, you can take vitamin B12 in a multivitamin or other supplement and foods fortified with vitamin B12