A B12-rich diet or supplements can help, but some autoimmune diseases, like pernicious anemia and inflammatory bowel disease, can prevent B12 absorption
Its key advantages are prolonged sterility (multi-dose use) and slight anesthetic effect, but it must be used correctly: always dilute drugs per guidelines, ensure the final solution is isotonic, and heed contraindications (no neonates, no intrathecal use)
doi:10.1016/j.bmcl.2018.07.009
Depending on the specific type of synthetic vitamin B12 used and local medical guidelines, these maintenance injections are typically given once a month or once every 2 to 3 months [6] [2]
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