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Sublingual administration, which bypasses the gastrointestinal tract, appears to be equally effective as IM injections while being less invasive and more cost-efficientparticularly in patients with atrophic gastritis, post-gastrectomy status, or conditions that impair intrinsic factor-mediated absorption, where long-term intervention is often required

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(2008) went on to compare the effectiveness of both systemic (intraperitoneal) and local treatment (as a thin cream layer) over a period of 14 days in crushed muscle (gastrocnemius muscle complex) in rats