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Concluding that there was no difference based on site of administration is difficult, however, because intake was almost completely eliminated between the 4th and 12th h of testing, creating the possibility of a floor effect

Eur J Gastroenterol Hepatol 17:207212

In many cases, switching from oral to intramuscular B12 circumvents absorption issues entirely, providing reliable therapeutic levels regardless of gastrointestinal factors or drug interactions

HumeCare states that service availability elsewhere varies by state based on physician licensure within MDI Medical Group's network, and that availability is subject to change based on state regulations and clinician licensure