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Studies have not revealed a significant difference, despite claims that some formssuch as sublingual tablets or liquids inserted beneath the tongue to be absorbed through the tissues of the mouthhad better absorption than conventional tablets

Further, cyanocobalamin and hydroxocobalamin are available by prescription in an injectable form to treat pernicious anemia, and cyanocobalamin is available as a prescription nasal spray

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Symptoms include persistent fatigue and low energy, brain fog and poor concentration, low mood, anxiety or depression, memory problems, tingling or numbness in hands and feet, poor sleep quality, weakened immune function and hair thinning and loss

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