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Animal studies have shown a risk of birth defects, so use during pregnancy should be carefully considered
Supplements work for some, but injections are more effective for people with absorption issues or low energy levels

[PubMed] [Google Scholar] 39.Wheatley C

Medical providers may recommend that people with anemia or malabsorption concerns take vitamin B12 sublingually

However, many people struggle to get enough vitamin B12 through diet alone, especially those who follow vegetarian or vegan diets, as plant-based foods generally lack the vitamin