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Even individuals with a healthy diet can experience B12 depletion due to factors like stress, intense physical activity, dehydration, or lifestyle habitsmaking regular replenishment through injections or IV therapy a useful wellness strategy

10.1016/j.ejphar.2011.05.038 [DOI] [PubMed] [Google Scholar] Ilic S., Drmic D., Zarkovic K., Kolenc D., Coric M., Brcic L., et al

The only further therapy that would be required is lower the House-Brackmann scores further

Transdermal forms of vitamin B 12 are available over the counter, but this route of administration has not been validated clinically in the setting of vitamin B 12 deficiency and should not be relied upon for treatment