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Alternative Routes of Administration & the First-Pass Effect There are several reasons for different routes of administration used in clinical medicine ( Table 33 )for convenience (eg, oral), to maximize concentration at the site of action and minimize it elsewhere (eg, topical), to prolong the duration of drug absorption (eg, transdermal), or to avoid the first-pass effect (sublingual or rectal)

The injection Hydroxocobalamin is given as an intramuscular injection (into a muscle), typically by a trained healthcare professional

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doi: 10.3389/fnut.2022.947118