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A published case series on cobalamin disorders described subcutaneous B12 as a gentle, easy-to-use alternative to intramuscular injections

Injections may be recommended when: There is impaired absorption (for example, pernicious anaemia)

The encouraging news is that, when correctly diagnosed, it is very treatable

For example, individuals with digestive system disorders may not benefit from liquid, chewable, or tablet forms of cobalamin

[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes