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Other ways of supplementing with vitamin B12 include: oral tablets or capsules oral or nasal sprays drops for under the tongue Your doctor can provide advice on the most appropriate option for you

The underlying mechanisms of action are ascribed to both the changed local metabolic processes in the muscle tissue itself and systemic processes (among them vegetative nervous system), whereby the final clarification has not yet been accomplished (15)

As such, these tests should be utilised in a supplementary context alongside the vitamin B12 level, full blood count and investigations to exclude other conditions[11]