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Last updated on Mar 13, 2026

Compounded products offer customization and lower cost but less regulatory oversight

These can include, but are not limited to, pain, redness, or swelling at the place of injection

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In asymptomatic patients with risk factors (see Table 1: Patient Risk Factors Associated with B 12 Deficiency below) consider supplementation in lieu of testing

For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment