US department of agriculture and US department of health and human services, dietary guidelines for Americans,, 2
Doing good
It is important in the normal functioning of the nervous system via its role in the synthesis of myelin, and in the circulatory system in the maturation of red blood cells in the bone marrow
So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]
Blood tests and doctor visits help see if the dose is right
Therefore, deficiency is common, especially in people who follow a vegetarian or vegan diet