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If this applies to you, our healthcare providers will assess your needs and determine if injections are necessary
However, levels of ferritin usually do not rise until iron stores are high
As a general rule, IM is favored when the goal is rapid correction of a clinical deficiency, when the patient has difficulty absorbing B12 through oral or sublingual routes, or when a provider wants predictable peak serum levels
Patients inject once daily, before sleep, at least 2 hours after their last meal
These people may need direct supplementation with methylcobalamin or adenosylcobalamin rather than cyanocobalamin
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