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Yes, injections are more effective for people who cannot absorb B12 properly, as they bypass the digestive system and deliver the vitamin directly into the bloodstream

The muscle also presses against the subcutaneous tissue from below, reducing the available fat layer and increasing the chance of intramuscular injection

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Hydroxocobalamin tends to remain in the body longer and is more readily converted to the active coenzyme forms of B, which can make it effective for maintaining B levels

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