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10.1016/j.neubiorev.2020.01.001 21 CruickshankC
Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)
If any of that rings true for you, sitting down with a provider is a sensible move
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