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Deficiencies in Vitamin B12 can lead to an array of health issues, including fatigue, anemia, and neurological disorders

The severity of the deficiency, any health conditions, and how well the treatment works are all important

Intramuscular treatment can be necessary when the cause creates a persistent absorption problem, when specific surgery has removed the normal absorption pathway, or when clinical risk and adherence support that route

doi:10.1177/1535370217746612

Once the vitamin B12 reserves reach their normal levels, the injection of vitamin B12 will be needed as maintenance shot once every one to three months to prevent any of the symptoms of deficiency from returning