The overall risk appears to be very low, but the theoretical concern necessitates appropriate patient selection and informed consent
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Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms
Finding the right dosage is key to getting better
Storing solutions in plastic syringes can lead to stability issues or potential interactions with the plastic over time