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Description
Exceptional Cases to Avoid Shots People with kidney problems, iron deficiencies, or known sensitivities/allergies to vitamin B12 should not get B12 injections since side effects could be more likely

Maintenance Therapy : For ongoing maintenance, a monthly injection of 1 mg (1000 g) is generally sufficient to maintain adequate vitamin B12 levels in most adults

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For older adults on long-term PPIs, periodic B12 monitoring is appropriate and a daily sublingual methylcobalamin is a reasonable preventive measure to discuss with the prescriber
