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Early Breast Cancer Trialists Collaborative Group Relevance of breast cancer hormone receptors and other factors to the efficacy of adjuvant tamoxifen: patient-level meta-analysis of randomised trials

A 2025 meta-analysis of 16 studies involving 6,098 participants found no statistically significant difference between intramuscular, oral, and sublingual B12 supplementation routes (p=0.270)

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As with any supplement in this stage, we would advice ceasing use if any concerns to arise

According to the company's website, prescriptions ship within one business day, with nurse support included throughout the treatment period