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While we listed two options above, here are three additional supplements worth considering: NOW Foods Methyl B-12 lozenges: With the option to chew or let them dissolve in your mouth, these lozenges provide 41,667% of the DV for vitamin B12

This is vastly more dilute than topical formulations, but isolated cells in culture have direct peptide access without any barrier to penetration

Monitoring and adjustments: Regular blood tests to check B12 levels Assessing if symptoms get better or worse Changing the injection frequency as needed By customizing the B12 injection schedule, healthcare providers can make treatment more effective