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Alternatively, you may need hydroxocobalamin injections twice a year

In the primary healthcare setting, the most commonly seen causes of vitamin B12 deficiency are related to abnormalities of digestion (atrophic gastritis, achlorhydria or the consequences of gastrectomy) or absorption (autoimmune pernicious anaemia, chronic pancreatitis, Crohns disease, the effect of medications that alter the mucosa of the ileum, or the consequences of surgical resection), and, to a lesser extent, a lack of exogenous supply

So, um, it is just as a side, it is available

B12 injections can be administered in different dosages depending on an individuals specific needs

Well monitor your progress and adjust as needed