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The AAFPs evidence-based clinical review states directly: Oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms in patients with B12 deficiency (Langan RC, Goodbred AJ, American Family Physician, 2017)

The Schilling test distinguished PA from other forms of B 12 deficiency, [50] specifically, from ImerslundGrsbeck syndrome, a B 12 -deficiency caused by mutations in CUBN that codes for cubilin the cobalamin receptor

Kralj et al., 2017)

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Each pen is color-coded on the label to indicate dosage strength