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Monitoring-guided supplementation is the usual approach, typically beginning with oral supplementation if blood tests indicate suboptimal levels, and escalating to IM injection if oral treatment is insufficient or poorly tolerated
Low B12 can delay this process a lot
At our Torrance clinic, providers review medical history, current goals, and ongoing treatments before recommending injectable options
chloramphenicol), and concurrent iron or folic acid deficiency (13, 16)
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