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Administering these vitamins via injection bypasses gastrointestinal absorption barriersuseful for patients with pernicious anemia, post-gastrectomy states, chronic metformin or acid-suppressing therapy that impairs B12 absorption, or conditions that reduce intestinal uptake

Guideline 2: Maintenance Dosing Schedules After the first phase, patients move to a maintenance dosing schedule for vitamin B12 therapy

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24 weeks (full titration) 2 x 30 mg vials (or 5-6 x 10 mg) Maintenance at 15 mg/week uses one 30 mg vial every 2 weeks

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