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The choice between PO and IM vitamin B 12 seems ideal for shared decision making

When intake and interference are accounted for and the elevation persists, the result is interpreted by weighing hepatic, renal, hematologic, malignant, and functional possibilities

Oral Pills Doctors are more likely to recommend injections when B12 levels are critically low or if you have a persistent issue that causes nutrient malabsorption

this is more likely in children