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The injectable route bypasses the digestive system, ensuring the full dose enters circulation.

Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration

Inform your doctor about all other medications you are taking, including over-the-counter drugs and supplements

(DO NOT ADMINISTER MORE THAN TWO OF THESE AMPOULES OF B12 PER MONTH)

As such, vegetarians and vegans are at higher risk of B12 deficiency