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Serum cobalamin concentrations before treatment were 94 30 pmol l 1 , 108 17 pmol l 1 and 98 14 pmol l 1 in the sublingual B12, oral B12 and oral B-complex groups, respectively

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B12 deficiency can occur for a variety of reasons, including: Inadequate dietary intake: Vitamin B12 is found primarily in animal-based foods such as meat, fish, eggs, and dairy products