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Until those studies exist, subcutaneous injection remains the only route with dosing predictability

Cyanocobalamin clears faster and requires more frequent dosing, so it has largely fallen out of routine use here

This is often the case for older adults, individuals with certain digestive conditions, or those following specific diets

The American Academy of Pediatrics considers vitamin B12 to be compatible with breast-feeding

The American Academy of Family Physicians confirms that oral doses of 1,000 to 2,000 mcg daily can correct both anemia and neurologic symptoms in most deficient patients