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Maintaining adequate levels of B12 is essential for good health

However, if you have a significant deficiency, certain digestive conditions, or issues with nutrient absorption, oral supplements might not be effective enough

If you are pregnant, nursing, taking medications, or have blood clotting issues, consult your physician before use.

The 2022 hormone therapy position statement of The North American Menopause Society

In people with type 2 diabetes who also use insulin or insulin-stimulating drugs, such as sulfonylureas, the risk of low blood sugar, also called hypoglycemia, may be increased, so the doses of those medicines may need to be lowered