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For many, particularly those with underlying malabsorption issues like pernicious anaemia, injections are demonstrably more effective and stronger in their ability to deliver B12 directly into the bloodstream, bypassing the digestive systems limitations

A bone marrow biopsy can be taken from the back of the pelvis, which involves liquid marrow being extracted through a small needle (a bone marrow aspirate), followed by a bone marrow sample being taken from the bone itself

The treatment itself only takes a matter of seconds and is equated to a mild pinch at best

Plant-based sources of vitamin B12 include yeast extract (such as Marmite) fortified plant milks and fortified breakfast cereals

These pharmacies are safe and regulated by the state Board of Pharmacy, and have frequent inspections for sterile processing

Those unwilling to inject can explore topical GHK-Cu options, though systemic benefits require injectable administration