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Drew Timmermans
However, with severe vitamin B12 deficiency or absorption issues, healthcare professionals may recommend an intramuscular injection rather than an oral supplement
It consists of water for injection combined with benzyl alcohol at 0.9% (9 mg/mL), with no additional excipients in standard USP preparations
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
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