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doi: 10.1046/j.1365-2125.2003.01907.x Georges Delpre, Pinhas Stark, Yaron Niv, Sublingual therapy for cobalamin deficiency as an alternative to oral and parenteral cobalamin supplementation, The Lancet, Volume 354, Issue 9180, 28 August 1999, Pages 740-741, ISSN 0140-6736,

Some people experience soreness at the injection site, mild nausea, or slight stomach discomfort

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The reason we say this is a marketing scheme rather than accurate promises is because: The research findings only apply to animal models and no studies demonstrating efficacy in human models