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It is also important to monitor labs for improvements, but the catch 22 of monitoring is that it requires blood draws

Nature Communications, 10(1), 5284

Vitamin B12 Injection Informed Consent Patient Name*B12 Facts: B12 injections are typically used as a treatment for a certain type of anemia (pernicious anemia)

Intramuscular hydroxocobalamin injections represent the standard first-line treatment in the NHS: For deficiency without neurological involvement : Initially 1 mg three times weekly for two weeks, followed by maintenance injections every two to three months lifelong (if the underlying cause cannot be corrected)