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Identify the Underlying Cause After deficiency is identified, intrinsic factor antibodies and parietal cell antibodies may be used to investigate pernicious anaemia or autoimmune gastritis

Discussion From a clinical point of view, the results obtained will help establish whether the oral administration of vitamin B12 is as effective as intramuscular treatment in the normalisation of serum vitamin B12 concentrations in patients 65 years of age with a deficiency

Step 6: Draw out the same volume of air that you've injected (10 mL) from the Methylcobalamin 10,000 mcg vial before pulling the needle out

Persistent nodules occasionally require ultrasound evaluation to rule out other causes

Individuals receiving B12 supplementation may occasionally experience injection site reactions or, rarely, hypersensitivity