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Oral absorption is considered too undependable to rely on in patients with pernicious anemia or other conditions resulting in malabsorption of vitamin B12

This is especially important if you experience symptoms commonly associated with high vitamin B12 levels in the blood, including: 9 Gastrointestinal issues, such as nausea, vomiting, or diarrhea Headaches Tingling sensations in the hands and feet Weakness and fatigue Should I Be Concerned About High Vitamin B12 Levels

In contrast, cyanocobalamin is an inactive, synthetic, slightly-toxic form of B12 that the body must convert

NAD+ injections directly replenish your body's NAD+ levels