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Description
Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration

Open communication about the potential interaction between B12 status and HbA1c accuracy can help ensure you receive the most appropriate monitoring and care

Contraindications include active infection at the injection site, severe thrombocytopenia, or anticoagulation therapy requiring provider clearance

Butterfield JH
