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The NHS recommends that adults require approximately 1.5 micrograms of vitamin B12 daily, a target readily achievable through a balanced diet for most people
It is a single daily subcutaneous injection on a provider-determined schedule
Before any medication change, confirm the product status, the source, the clinical reason for combining therapies, and the plan for monitoring side effects
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With regard to substitution in cases of existing B12 deficiency, the fact that B12 sensitisation is mainly triggered by injections makes it advisable to avoid intramuscular administration
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