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Consequently, it is preferred by many of the medical directors with whom we work as a means of providing metabolic assistance without causing the traditional side effects such as heart palpitations and jitters seen with stimulants containing caffeine, (e.g., sympathomimetic drugs)

Funicular spinal disease (spinal cord damage)

This boost in energy can be particularly beneficial for those following calorie-restricted diets

Those who undergo GI surgery, like removal of intestines or gastric bypass, may also have difficulty with B12 absorption (4, 5)

high-dose oral B12 can be effective for many causes of deficiency Sublingual (under the tongue) preparations : Though marketed as having better absorption, evidence does not show clear advantages over standard oral tablets Intramuscular injections : Prescribed for those with absorption problems or severe deficiency