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Unlike fat-soluble vitamins, B12 does not accumulate in body tissues to toxic levels

Cyanocobalamin (injection) | Michigan Medicine

Knowing when shots are needed helps doctors give better care and improve health outcomes

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Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy

They may also support hair, skin, and nail health