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If the issue lies with absorption, B12 shots or IV infusions are an effective alternative to oral supplements because they are administered via injection or intravenously, meaning they do not need to be absorbed through the digestive process

[DOI] [PMC free article] [PubMed] [Google Scholar] 81.Matek D., Matek I., Staresinic E., Japjec M., Bojanic I., Boban Blagaic A., Beketic Oreskovic L., Oreskovic I., Ziger T., Novinscak T., et al

Unexplained persistent high B12 levels should prompt evaluation for these conditions

In a recent published study, this has been linked to cardiac events, such as abnormal heart rhythms, heart attacks, and sudden death
