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In instances of pernicious anaemia, bariatric surgery, severe malabsorption, inflammatory bowel disease involving the ileum, and substantial neuropsychiatric symptoms, vitamin B injections are highly recommended

Yung WK, Vredenburgh JJ, Cloughesy TF, Nghiemphu P, Klencke B, Gilbert MR, et al

Vitamin B12 shots are typically given intramuscularlymeaning the injection is delivered directly into a muscle, most often in the upper arm (deltoid), thigh, or buttock