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Since vitamin B 12 is a determinant of homocysteine metabolism, it was suggested that the risk of osteoporotic fractures in older subjects might be enhanced by vitamin B 12 deficiency

Oral Supplements: Sublingual tablets or B12 sprays are also effective options

While these are population-level numbers, the principle applies to individuals as well: routine injection visits for non-deficient patients add up in copays, travel time, and appointment scheduling without delivering additional benefit

Though vitamin B12 is available in several different forms, research suggests that they are similar in terms of absorption and effectiveness

Our evaluation is designed to identify any of these concerns before treatment begins