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My own clinical practice is usually a trial of oral replacement initially, checking levels as per the monitoring advice below, and switching to intramuscular replacement where indicated

Additionally, a subcutaneous injection uses a shorter needle because it does not need to go deep into the tissues

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In the UK, Vitamin B12 injections are typically administered by: Doctors Nurses Pharmacists Qualified healthcare professionals Some aesthetic practitioners and trained clinicians can also administer injections after completing appropriate training and certification