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Regular blood tests check if the current injection schedule keeps B12 levels right

The NICE Clinical Knowledge Summary for vitamin B12 deficiency outlines specific treatment schedules: for patients without neurological symptoms, hydroxocobalamin 1 mg intramuscularly three times a week for 2 weeks

B12 Shots injections allow direct and immediate absorption to the bloodstream

They can determine from there whether or not you are absorbing the proper amounts of this nutrient

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In older people, there may not be sufficient stomach acid to start the breakdown process