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For a confirmed deficiency, their guidelines point to a specific type of B12 called hydroxocobalamin, given as an intramuscular injection

We recommend that dietary assessment of obese children should include an estimation of vitamin B(12) intake

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Your provider will likely order a follow-up test to confirm your specific trend

Preparing for an Injection Describe any symptoms you've been experiencing to your doctor, especially things like mental fogginess and overall fatigue, so your doctor can make an assessment