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Cyanocobalamin Injection 1000mcg/ml is available in 1ml,multiple-dose, sterile vials for administration

Rinse mouth and nose

It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of

Yocum AD, Patel M, Palocko B, Simon EL The Journal of emergency medicine 2023

Persistent fatigue or low energy levels Diagnosed B vitamin deficiency Post-illness recovery High stress or mental health support Vegan or vegetarian diet Preparing for major physical activity Experience the Future of Injection Therapy Why Vitamin shots