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B12 Deficiency Treatment Recommendations I start treatment using hydroxocobalamin 1,000 mcg by intramuscular injection

Yes, in fact it is probably more beneficial to older individuals

According to the public registry, the trial was completed, and the results suggest a favorable safety profile with no significant adverse events reported (ClinicalTrials.gov Identifier: NCT03416053)

Discard the unused portion

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In fact, injections and infusions may be more beneficial for people deficient in B12 due to a digestive issue or because they are older and have less stomach acid