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routine B12 level monitoring is generally unnecessary once replacement is established, as levels do not reliably correlate with tissue stores Important safety considerations: Older adults may have impaired renal function, though this rarely affects B12 therapy given its wide safety margin

Because the needle stays in the fatty layer, there is less chance of catching a nerve or a blood vessel than with a deeper injection, which is one reason some clinicians prefer it for maintenance dosing

Convenience Vitamin Tablets: Easy to purchase and take at home

A licensed provider determines whether a compounded medication is appropriate based on an individual patients medical needs

Jan 2019;42(Suppl 1):S90-S102