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Step 2: Draw the bacteriostatic water Using the 3 mL syringe with the larger gauge needle, draw exactly 3 mL of bacteriostatic water

Oral B12 supplementation may be appropriate in specific circumstances: Dietary deficiency in vegans or vegetarians without malabsorption issues Patient preference where absorption is intact Maintenance therapy in some cases following initial injection therapy Typical oral doses range from 502000 micrograms daily

Potassium replacement therapy should be administered if necessary.[12][15] Patients with pernicious anemia are three times more likely to have gastric carcinoma compared to general population