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Symptomatic vitamin deficiency is more likely if the person is rendered achlorhydric (a complete absence of gastric acid secretion), which occurs more frequently with proton pump inhibitors than H 2 blockers

Heres what we suggest for these patients: Give them high doses of vitamin B12 (1000-2000 mcg) often (daily or weekly) at first Consider Tiaminal B12 injections, which have both thiamine and B12 Watch their symptoms closely and adjust treatment as needed Experts say that High-dose vitamin B12 therapy can lead to significant improvements in neurological function in patients with deficiency-related neuropathy. In short, customizing B12 injection plans for the elderly and those with neurological issues is key

Tablets remain stable for 24 months

Quick Absorption: Injections of B12 enter the bloodstream directly, avoiding possible problems with absorption in the digestive tract, in contrast to oral supplements

The Journal of Pediatrics

Reconstitute: Add 2.0 mL bacteriostatic water 5 mg/mL concentration