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What is the maintenance protocol for vitamin B12 injections after the initial treatment phase

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It does not need to be refrigerated while sealed

Methylcobalamin: As a naturally occurring and highly bioavailable form, methylcobalamin is readily absorbed by the body

25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present