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The vitamin B12 forms cyanocobalamin and occasionally hydroxocobalamin can be administered by intramuscular injection to treat deficiency or cases of malabsorption

Aug 13 2021;10(8)doi:10.3390/antiox10081283

Good clinics check hematocrit every three to four months, adjust dose or suggest a blood donation, and add an aromatase inhibitor only when labs demand it

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Water-soluble vitamin B12 can be used as a prescription drug and a dietary supplement

Monitor factors that might affect absorption: oral pH, hydration level, time of day, position of drops under tongue