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Effectiveness: For individuals with absorption issues or those who do not respond to oral supplements, injections can provide a more effective solution

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FAQ What is the standard initial dose of vitamin B12 injection for adults with severe deficiency

Guidelines from the British Committee for Standards in Hematology suggested the use of total serum vitamin B 12 as the first-line test, with MMA as the second-line test (Devalia et al., 12 does not reflect cellular, genetic, and pharmacological disturbances that lead to functional vitamin B 12 deficiency