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R., Rosenberg, S

In some embodiments, single-phase gels are generally aqueous but will also be made using alcohols and oils

Early evidence for the potential efficacy of this route was published in 1999, where 18 patients with B12 deficiency treated exclusively with 712 days of 2 mg of sublingual cobalamin daily had 4 times higher B12 levels compared to pre-treatment, reaching therapeutic ranges ( There have also been further studies comparing treatment outcomes from the sublingual route to the more established IM and oral routes

Follow-up Repeat broad labs after 8-12 weeks if systemic use continues or symptoms change

If you want oversight thats specifically built around female physiology and hormonal context, thats the distinguishing reason to land here rather than with a generalist provider