All published research is currently limited to comparison of raising B12 serum levels which is not the same thing
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10.1089/acm.2006.12.881 Summary Keywords vitamin B12, efficacy, bioavailability, therapeutic approaches, meta-analysis, cobalamin Citation Mazur M, Ndokaj A, Salerno C, Vallone J, Ardan R, Bietolini S, Carrouel F, Wilk A, Sarig R, Ottolenghi L and Bourgeois D (2025) Efficacy of sublingual and oral vitamin B12 versus intramuscular administration: insights from a systematic review and meta-analysis
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The importance of dietary protein cannot be underestimated in this population since inadequate protein intake contributes, among other things, to a decrease in lung reserve capacity, increased skin fragility, osteoporosis, decreased immune function and muscle mass (sarcopenia), poor healing and longer recuperation from illness [2, 47]
The most common factors that might harm it are heat, air, and light