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Healthcare providers must weigh the severity of the deficiency against the patients overall health

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A healthcare professional can determine which site and method are the most convenient for you

Taking an oral multivitamin on top likely wont cause harm because excess B vitamins are water-soluble and your body will excrete what it doesnt need

For Hereditary B12 Malabsorption If you suffer from Imerslund-Grasbeck disease, your vitamin B12 malabsorption will be treated with hydroxocobalamin injected into the muscle at a dose of 10 mg per day for 10 days followed by monthly injections for life

Vitamin B12 injections can be administered in different ways