Gans also suggested sublingual tablets while a cost-effective approach to preventing and treating B12 deficiency. Those with impaired absorption and more severe deficiencies may require a prescription dose sublingual B12 or supplement injection, as both strategies bypass digestive absorption and deposit directly into the blood stream. Gans noted that supplement B12 has no upper tolerable limit; therefore, it is safe for most people to supplement with.. 47 million Us citizens are B12 deficient Around 47 million Americans are B12 deficient, and very handful of them know it.The practitioner will observe your muscles, fascia, ligaments, nerves, and tendons react to certain types of function or movement, and then give you the appropriate therapy. Using hand pressure, the practitioner might break up or remove fibrous adhesions. Stretching motions may be done in the direction of lymphatic and venous flow . The practitionertypically does the movement through the first three degrees of therapy. In level four, you may be asked to actively move the affected area in prescribed methods while the doctor applies a targeted pressure.