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In the UK, hydroxocobalamin is the standard form used for intramuscular injections, and routine monitoring of serum B12 levels during replacement therapy is generally not required once treatment is established

Vitamin B12 Injections: A Practical Approach Vitamin B12 injections , a form of intramuscular administration, are a direct method to raise blood levels of this crucial vitamin, especially in individuals who have difficulty absorbing it from food

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It remains one of the most cited trials showing how carefully selected patients can achieve long-term relief