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It is injected intramuscularly by a trained health care professional

[11] It is less preferred than hydroxocobalamin for treating vitamin B 12 deficiency because it has a slightly lower bioavailability

Hematocrit, reticulocyte count, vitamin B 12, folate and iron levels should be obtained prior to treatment

The product is likewise indicated for increased physiologic demand (pregnancy, thyrotoxicosis, chronic hemorrhage), for drug-induced depletion, and for select neurologic or hematologic disorders in which B12 plays a pivotal metabolic role

Vitamin B12 deficiency that is allowed to progress for longer than three months may produce permanent degenerative lesions of the spinal cord

Administration Routes: Choosing the Right Method Vitamin B12 injections can be given in different ways