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For these patients, oral supplements may not be effective, and thats where B12 injections can make a difference

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Subcutaneous: B12 Injection Procedure Administering a subcutaneous B12 injection follows a similar process to intramuscular injections but involves injecting the B12 solution into the fatty layer of tissue just beneath the skin

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This is especially important for people at risk for multiple deficiencies, including those with GI conditions, a history of gastric bypass surgery, impaired kidney function, older adults, and people taking PPIs