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and (2) peptides without FDA approval

If the issue lies with absorption, B12 shots or IV infusions are an effective alternative to oral supplements because they are administered via injection or intravenously, meaning they do not need to be absorbed through the digestive process

The FDA-designated label for cyanocobalamin states that it can be given either intramuscularly or subcutaneously

doi: 10.1021/jm9802867

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If you experience severe pain, signs of infection (redness, warmth, swelling), or an allergic reaction (rash, itching, difficulty breathing), seek medical attention immediately