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So the practical takeaway is not oral is better or SC is better. It is: pick one route, follow the documented per-dose figure for the vial you have, and keep the route constant so that whatever you observe is not confounded by a mid-stream route change

For example, if the injection site starts to drain fluid or pus or the area feels warm to the touch, you may have developed an infection

Several factors affect how often B12 injections are needed: The severity of the initial deficiency The presence of neurological symptoms Underlying health conditions affecting B12 absorption The patients response to initial therapy Ongoing monitoring of serum B12 levels By customizing the injection frequency for each patient, we make B12 therapy more effective

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