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April 27, 2024 Vitamin B12 deficiency is believed to be one of the most common nutrient deficiencies in the world, especially among people taking stomach acid-altering medications and antibiotics frequently, along with the elderly and sometimes vegetarians/vegans

So the practical takeaway is not oral is better or SC is better. It is: pick one route, follow the documented per-dose figure for the vial you have, and keep the route constant so that whatever you observe is not confounded by a mid-stream route change

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(Your thumb and forefinger should be about 1.5 inches apart.) Inject the medication: Insert the needle into the pinched skin at a 90-degree angle, or 45 degrees if there is very little fat

These isolates exhibited resistance to most aminoglycosides (Table 1)