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Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy

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Annals of Medicine and Surgery

If your goal is support (energy, adherence, routine) inside a broader program, lipotropic injections may be a supportive add-on but they should not be positioned as the main driver of weight loss