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Experiences fatigue that does not have an obvious cause, nerve pain or anaemia, and B12 tests are found to be low

While most people get enough B12 from the food they eat, however, some people struggle to absorb enough B12 from their diet, leading to a deficiency

Before the first injection, the vial must be reconstituted

Additionally, vitamin injections are not a substitute for a healthy diet and lifestyle

Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment