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For those without an absorption problem, research suggests that high-dose oral B12 supplements can be as effective as injections in raising and maintaining B12 levels

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Ok, so these are interesting points but please add this into the mix for future answers: The NICE Guideline clearly states that there is insufficient research why some people need more frequent injections than others and that an 8- or 12- weekly schedule does not work for everyone and some may need more frequently

Vitamin B12 is absorbed by the body during the digestive process and requires a protein that is made by the stomach called the intrinsic factor

Pharmacokinetic studies revealed [6] : Orally administered AOD9604 was well absorbed in pigs with rapid degradation kinetics Primary degradation products were peptide fragments missing 2-3 amino acids from termini Both degradation products retained some reduced anti-lipogenic activity Rat whole-body radiography showed similar organ distribution patterns following both intravenous and oral administration This distribution pattern supports systemic absorption via the oral route in laboratory models