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Dorr RT, et al

Young people could face severe complications from measles, so contact your healthcare provider if you suspect exposure to the illness

It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of

However, there are certain health conditions and circumstances that may be negatively affected by the injections, including: Pregnancy Breastfeeding Cancer Advanced liver disease Seriously compromised kidney function Hypotension 4 Your Provider Injects Vitamin B12 Shots Intramuscularly This means the solution gets injected directly into your muscles

Double-checking prevents errors that compound over weeks of dosing