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Parenteral administration is recommended for patients who are unable to take oral medications, such as before or after surgery, suffering from prolonged illness, or due to the inability to absorb vitamins in the gastrointestinal system
Patients with this condition or those with a family history suggestive of Lebers disease should avoid cyanocobalamin-containing products or use alternative forms of vitamin B12 such as hydroxocobalamin under careful medical supervision
Patients with a sluggish metabolism or difficulty losing weight despite lifestyle efforts
Intramuscular shots put B12 right into the muscle
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