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Others see a worsening of symptoms due to immune and estrogen changes
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
In the UK, such products are regulated under the GB Cosmetic Products Regulation (retained from EU Regulation 1223/2009, overseen by the Office for Product Safety and Standards, OPSS)
Int J Endocrinol 2022(1):6999907
10.1186/s10020-024-00873-0 294 LuL.LiW.SunC.KangS.LiJ.LuoX.et al
Misro MM, Choudhury L, Upreti K, Gautam D, Chaki SP, Mahajan AS, Babbar R
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