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Patients should be offered this alternative after an informed discussion on the advantages and disadvantages of both treatment options. oral vitamin B12 is an effective alternative to vitamin B12 IM injections Cochrane Review

Metformin Treatment: A Potential Cause of Megaloblastic Anemia in Patients with Type 2 Diabetes Mellitus

Vegetarian or vegan diet (low in natural B12 sources)

Use a syringe with clear ml markings for the reconstitution step, not an insulin syringe

This solution is Research Use Only (RUO), not intended for medical use and is not approved for diagnostic or therapeutic applications or in neonates