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Vitamin B12 injections bypass the digestive tract and deliver cobalamin directly into muscle or fatty tissue, which is why healthcare providers often recommend them for people with pernicious anemia, malabsorption conditions, gastric bypass history, strict plant-based diets, or age-related B12 decline
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Oral B12 (50–150 µg daily) may be appropriate for dietary deficiency without neurological involvement, but intramuscular hydroxocobalamin injections remain first-line treatment in the UK for patients with nerve symptoms or malabsorption conditions
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