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Conclusion .It also provides further evidence that participation in audit can bring about change in clinical behaviour leading to improvements in standards of care Use of vitamin B12 injections among elderly patients by primary care practitioners in Ontario although therapy for vitamin B12 deficiency prevents serious morbidity clinical audits in Britain have shown that approximately half of the patients receiving regular vitamin B12 injections do not meet explicit criteria supporting its use and up to one fifth of patients receive unnecessarily frequent injections

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Vitamin B12 is an essential nutrient that plays a vital role in the normal functioning of the brain and nervous system, supports the formation of healthy red blood cells, and is crucial for effective metabolic processes, including the conversion of food into energy