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Anyone diagnosed with pernicious anemiaan autoimmune condition preventing B12 absorptionrequires injections as oral supplements prove ineffective

People on vegan or strict plant-based diets need a reliable source from fortified foods (nutritional yeast, fortified plant milks, certain breakfast cereals) or a supplement

Patients with significant anaemia require monitoring of serum potassium, particularly during loading doses

Without adequate B12, the body cannot produce healthy red blood cells or maintain the myelin sheath that protects nerve fibers

For example, if a patient needs 2500 mcg and the vial has 1000 mcg/mL, you need 2.5 mL

Healthcare providers can tailor B12 doses for adults with special conditions