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Peak weight loss occurs around weeks 30 to 50, after which the rate slows and eventually plateaus

Conclusion: Sublingual and oral B12 supplementation appear to be as effective as intramuscular (IM) injections in improving cobalamin status and reducing homocysteine levels

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On the other hand, a 30G gauge represents thinner, less painful needles at the cost of slower delivery

Injections can provide the necessary building blocks, particularly when appetite is low or digestive function is impaired