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Sonveaux, P

For people with absorption problems, such as pernicious anaemia, injections are medically necessary as oral supplements will not be absorbed effectively

If you take folic acid instead of cyanocobalamin, folic acid will resolve the anemia but not the neurological disorders

Intramuscular and intravenous delivery bypasses the gastrointestinal tract, achieving significantly higher bioavailability than oral supplementation, making injectable micronutrients a clinically effective option for patients with confirmed or suspected deficiency, malabsorption conditions, or chronic illness

I would call it more of an uninformed fad