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Private consultation with a trained pharmacist Clinical assessment and consent Intramuscular Vitamin B12 injection (upper arm) Aftercare advice and safety-netting How often will I need injections

Furthermore, IM administration of hydroxocobalamin is also the preferred treatment for pediatric patients with intrinsic cobalamin metabolic diseases

People with mild B12 deficiencies experience changes in B12 effectiveness yet severe deficiencies need extended treatment time or stronger doses to produce noticeable results

For this reason, people in this age group are often recommended to either take supplements, eat fortified foods or get regular injections

People with low B12 levels often experience irritability and depression