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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)
Individuals living with chronic fatigue conditions benefit most from IV infusions for chronic fatigue
Protocols commonly use subcutaneous injection in a loading-then-maintenance pattern over 46 week blocks, but there is no FDA-approved product or official dosing
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