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If B12 supplementation is indicated based on clinical assessment, it must be obtained separately through oral supplements, sublingual preparations, or injections as prescribed

Supplements also arent regulated by the FDA and dont have to demonstrate efficacy in order to be marketed

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Similarly, certain lifestyle choices, like smoking, can also pave the way to a B12 deficiency

Contributor Hope Ricciotti, MD, Editor at Large, Harvard Women's Health Watch Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content

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