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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)

And theyre more comfortable to use

The injection is given intramuscularly typically into the upper arm or thigh

These dosages are derived from published preclinical studies and anecdotal reports

A comparison of the data with the findings reported in the 2024 paper by Wali et al

[17] While it technically refers to anemia caused specifically by autoimmune deficiency of intrinsic factor, it is commonly used to refer to B 12 -deficient anemia as a whole, regardless of cause