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Compounding pharmacies, regulated by the FDA and state boards, create personalized formulations under stringent quality controls, ensuring purity, accurate dosing, and sterilityreducing risks of contamination or substandard products.[41][42][43] These are tailored for human use under medical supervision, often with third-party testing

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The systematic review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO), registration number: CRD42024554513 (Available from) ( 2.2 PICOs question The primary research question addressed in this review was: What is the effectiveness of sublingual/oral administration of Vitamin B12 alone or compared to other forms of administration (e.g., intramuscular injection)?