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The exact timing depends on the patients needs, like how severe the deficiency is and how well they absorb the vitamin

Required evidence may include clinical studies, extensive post-marketing use data, expert advice, and the views of relevant health professionals and public associations

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This audit also uses the same flawed diagnostic criteria used in the Leicester study

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)