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These calculations use 15-30mcg/kg as the reference range

According to a study published in PubMed Central (NIH), IV administration of vitamin B12 provides a faster increase in B12 levels compared to oral supplementation, making it a potentially better option for patients with severe deficiency

(The cost of B12 is pennies but the time for nurses to give the injection appears to be the saving here.) Some practices are enclosing diet sheets for patients to learn how to make sure they are eating foods containing B12

Pain may be particularly intense when lifting or moving the arm

Allergic reactions , whilst rare, can occur and range from mild skin reactions to severe anaphylaxis