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Subjectively, adequate B12 manifests as maintained energy levels, absence of neurological symptoms like numbness or tingling, and normal cognitive function

Both IM and SQ can achieve that goal

Table 6: Treatment of folate deficiency (adapted from Means 2021) 27 TOP Ongoing Care Ongoing Management Vitamin B 12 Duration of therapy Once a diagnosis of B 12 deficiency due to poor absorption of B 12 has been made, therapy should be maintained lifelong
This study concluded that the Ontario health care system could save $14.5 million in 5 years by switching to oral supplements, assuming that patients took the oral supplements as required
