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Alzheimer Res ., 16 , 622632

It might help you to print off the documents in the links I left, read through, and highlight anything that is relevant to your case, paying particular attention to: problems with serum B12 testing - especially once treatment has commenced, BSH guidelines for treatment - especially where neurological symptoms are concerned, the role (or not) of macrocytic anaemia, and the important of treating symptoms (not serum B12 levels or on the presence/absence of macrocytic anaemia)

Easy way to increase folic acid intake
When It Makes Sense to Check Your B12 for Anxiety and Mood Not every person with anxiety needs a B12 test

16,17 It is unclear whether B12 is absorbed via the oral mucosa or in the small intestine with sublingual administration, and research into this question is scarce
Patient Selection for Combination Therapy Choosing who gets combination therapy with Tiaminal B12 is detailed