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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)
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Safe Use, Dosage, and NHS Guidance on Vitamin B12 Pills The NHS recommends 1.5 mcg daily for adults, but therapeutic doses for deficiency are much higher oral cyanocobalamin 50150 mcg daily for dietary deficiency, or intramuscular hydroxocobalamin 1 mg for absorption-related causes
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