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Parry Strong A, Haeusler S, Weatherall M, Krebs J (2016) Sublingual vitamin B12 compared to intramuscular injection in patients with type 2 diabetes treated with metformin: a randomized trial

But patients need to learn how to do it safely and correctly

Because B12 is water soluble, the body doesnt store large amounts of it long-term the way it stores fat-soluble vitamins, which is one reason ongoing dietary intake or supplementation matters for some people more than others

For maintenance or general energy support, no test is required

Taking an oral multivitamin on top likely wont cause harm because excess B vitamins are water-soluble and your body will excrete what it doesnt need

Pick the next site in your rotation and wipe it with an alcohol pad