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Depending on the underlying reasons for your B12 deficiency, treatment might last for three-to-twelve months, or longer if related to a chronic medical issue such as pernicious anemia

doi:10.1038/176325a0

Gel formulations of vitamin B12 are somewhat new and applied into the nostrils (intranasally)

Despite its announcement to the stock exchange in 2007 that trials showed at 24 weeks participants lost one kilogram at best, only last month Metabolic told its patent holders that it was going ahead with attempting to license the product in the US for use in sports drinks and dietary supplements

Its also preservative free

Then, they can decide if B12 injections or oral supplements will help address pain and correct the nutrient imbalance