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It is injected intramuscularly or subcutaneously (deep under the skin), depending on the providers instructions and patient preference

Key considerations for IV dosage include: The severity of the Vitamin B12 deficiency The presence of any underlying medical conditions that may affect B12 absorption The patients overall health status and response to initial treatment Clinical Scenarios for IV Administration IV Vitamin B12 is used for severe deficiencies or when other methods fail

Kovatcheva added

Patients with a personal history of any cancer, even if treated and clear, get a longer conversation and often a clearance from oncology before we proceed