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Although these studies report promising results regarding the sublingual route, it is important to note that almost all of them only include patients with mild, subclinical B12 deficiency, making it difficult to extrapolate their outcomes for patients with severe deficiency or malabsorptive states

Sikiri P, Seiwerth S, Dekovi S, Grabarevi Z, Marovi A, Ruman R, et al

It is important to realize that vaccines are not the only injectable medical products associated with FISS

Protect from Light: The refrigerator naturally keeps it dark, but its good practice to store it in its original box or another container to shield it from light whenever the door is opened