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in certain instances, however, injections are advantageous e.g.: For severe deficiency For pronounced deficiency symptoms For severe stomach and intestine conditions Oral Supplements In regards to oral supplements, the various forms mainly differ according to their additives: Capsules are the purest and best form of oral B12 supplements Drops/spray are easy to use and good for children and adults who have difficulty swallowing Tablets mostly contain many additives and have no particular advantage Lozenges (sublingual intake) have no advantages over capsules, according to studies – but are more convenient to take Curing Vitamin B12 Deficiency – How Does Treatment Proceed

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Paracetamol (up to 1g four times daily, not exceeding 4g in 24 hours) is generally suitable for most people