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Research shows that taking B12 in a sublingual oral form is more effective for treating B12 deficiencies than actually getting B12 intramuscular shots (and it's usually much more convenient and affordable as well)

Yano, K., Brown, L

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Stores sit mainly in the liver and last years, so deficiency develops slowly and quietly, which is precisely why it gets missed

Amazon should be commended for efforts over the last several years to drastically improve dietary supplement compliance policies now requiring validation of GMP audits, label claim and contaminant testing, and screening for active pharmaceutical ingredients in high risk dietary supplement categories like sports nutrition, weight loss, and sexual enhancement