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Vitamin B12 injection is currently licensed for use in maintenance therapy for pernicious anaemia every 2 3 months depending on the type of pernicious anaemia

If you see no improvement even after a week, talk to your doctor
The direction of bias is therefore uncertain and variable , and should not be assumed to be consistently low
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Should vitamin B12 (cobalamin) be administered subcutaneously or intramuscularly for patients with deficiency?