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Oral Supplements Cyanocobalamin tablets (common) Methylcobalamin (easier to absorb) B12 sprays or dissolvable tabs Pros: Easy to take No needles Affordable Cons: Absorption varies Not ideal for GI conditions Food Sources Liver (highly concentrated) Eggs Red meat Cheese Shellfish and fish Plant-based
For general educational awareness, the principles that govern reconstitution of lyophilised injectable medicines in regulated clinical settings include: Preparation must take place in an appropriate environment (ideally a pharmacy aseptic unit or clinical clean area) using sterile equipment
BOMSS guidance further specifies monitoring responsibilities: specialist multidisciplinary team (MDT) follow-up is recommended for at least two years after surgery, with lifelong monitoring thereafter, typically in primary care
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