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PMID: 27456173
Monitoring: Clinical response assessment rather than routine serum B12 measurement, as levels remain elevated following injection regardless of tissue adequacy
With neurological involvement, 1 mg intramuscularly on alternate days is given until no further improvement, then 1 mg every 2 months
B12 injections are needed when the gut cannot absorb dietary B12 properly, or when oral B12 alone is not enough to correct the deficiency
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