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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)
First, injecting the B12 solution slowlyover about 5 to 10 secondscan significantly reduce stinging or discomfort
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For patients with severe kidney disease, impaired renal function can affect how excess B12 is cleared from the body
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