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Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment
Methionine also reduces the level of histamine in the body which may be beneficial for anyone with chronic allergies or inflammatory conditions
Oral B12 has only about 1 to 2 percent absorption, while injections are absorbed at 55 to 97 percent
Supplies Important notes Always use a new, sterile insulin syringe for each injection and dispose of it in a sharps container
How to prepare It is important to consult with your physician before considering Vitamin B12 injections, as they should not be used if you have Lebers disease (because of an increased risk for damage to the optic nerve) or any deficiencies or allergies, especially to cobalt
