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Inject slowly, wait around five seconds after depressing the plunger, then withdraw and apply light pressure

Special Populations Post-Bariatric Surgery Patients : Individuals who have undergone bariatric surgery, such as Roux-en-Y gastric bypass, are at a higher risk of vitamin B12 deficiency due to malabsorption

In the UK, standard maintenance therapy for pernicious anaemia is typically hydroxocobalamin 1mg by intramuscular injection every three months (or every two months if neurological symptoms are present), as per BNF and NICE guidance

Smith, E.J

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Important note: The serum test measures total vitamin B12, including both the active (holo-transcobalamin) and inactive forms