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and Peisker, M
When Oral Supplements Are Sufficient: Mild Deficiency Cases: Dietary insufficiency without absorption issues Preventive supplementation Cost-conscious approach No underlying digestive problems Recommended Dosage: 250-1000 mcg daily for maintenance When B12 Injections Are Superior: Severe Deficiency or Absorption Issues: Pernicious anemia Digestive disorders affecting absorption Rapid correction needed Previous failed oral supplementation The Science: Intramuscular B12 injections bypass the digestive system entirely, providing 100% bioavailability compared to 1-5% from oral supplements in deficient individuals
Patients with known allergy or sensitivity to local anesthetics of the amide type should inform their provider before starting
Options for vitamin B12 treatment include: Depending on the cause of the deficiency, you may only need treatment until your vitamin B12 levels are back to normal, or you may need B12 therapy for the rest of your life
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