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Injections may be recommended when: There is impaired absorption (for example, pernicious anaemia)
Moreover, it is required for the transport and metabolism of the endocrine, cardiovascular and liver systems
NICEs guideline covers recognising and managing B12 deficiency in adults, including deficiency linked to autoimmune gastritis
Your mixed medication should last up to 90 days, and it should be refrigerated after reconstitution
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Suggested starting points to discuss with your clinician Deficiency without malabsorption: 1,0002,000 mcg oral cyanocobalamin daily until normalized, then weekly or monthly maintenance per labs (AAFP)
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