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Oral supplements go through the digestive system, which slows absorption and limits how much your body can take in at one time

Lower-dose oral supplements, like tablets or sublingual drops, are often available over-the-counter

Other conditions that might need B12 shots include: Crohns disease Celiac disease Gastric bypass surgery Pancreatitis These issues can stop the body from getting enough B12

However, major expert groups have looked at the research and concluded that: The evidence is not sufficient to show that screening every adult without symptoms for vitamin D deficiency clearly improves outcomes such as fractures, heart disease or cancer