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When to Consider Vitamin B12 Injections If You Have a Deficiency : People who have been diagnosed with a vitamin B12 deficiency, especially those with underlying health conditions that affect absorption, may benefit from the rapid absorption and higher bioavailability offered by injections

Intramuscular (IM) B12 injections using hydroxocobalamin, the preferred licensed form in the UK are recommended when: Oral supplementation has failed to correct a documented deficiency The patient has difficulty adhering to daily oral regimens Serum B12 levels remain persistently low despite adequate oral dosing There is clinical evidence of neurological or haematological complications In line with BNF guidance, the standard IM regimen for confirmed deficiency without neurological involvement is a loading course of 1 mg hydroxocobalamin on alternate days for two weeks , followed by maintenance of 1 mg every three months