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Sublingual strips are dissolvable oral films that are placed under the tongue, where they absorb quickly into the bloodstream

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Intramuscular Whether given intramuscularly (IM) or subcutaneously (SQ), the goal of B12 injections is to bypass the digestive system when stomach absorption of B12 is impaired

If you need to take pain-relieving medications long-term, discuss other treatment options to ease muscle spasms with your healthcare provider, such as: Topical pain relievers (creams and ointments) are less likely to cause systemic side effects compared to oral medications for pain relief Low-impact physical activities such as stretching, yoga, and tai chi Relaxation techniques Consult a healthcare provider before taking alternatives such as acetaminophen or other muscle relaxants, especially those with the following: A history of allergic reactions to ibuprofen or cyclobenzaprine