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Mild gastrointestinal symptoms have been reported in some cases
This often affects older adults, who are more likely to experience a decline in stomach acid
If the deficiency is due to an underlying condition, they may require ongoing shots
Key Counseling Points Use only as directed for intramuscular or subcutaneous injection
[1] In practice, 1 mL (which provides the full 100 mg of B and B, etc.) is a common dose for general supplementation in deficient states, but clinicians may start with lower volumes for mild deficiencies or in smaller patients
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