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Revised Date: January 18, 2023 Recommendations and Topics Scope Key Recommendations Background Epidemiology Patient Risk Factors Associated with B 12 Deficiency Patient Risk Factors Associated with Folate Deficiency Prevention Diagnosis Management Ongoing Care References Resources Appendix A: Dietary sources of cobalamin Scope This guideline covers the primary care investigation and management of cobalamin (vitamin B 12 or simply B 12 ) and folate deficiency in adults

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

Vitamin B12 is found almost exclusively in animal-based products

All B12 shots shipped from my office come with ice packs and instructions for refrigeration upon arrival

A B12 shot functions by delivering high-dose cobalamin directly into the muscle, bypassing the digestive barriers that often block absorption

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