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Perhaps most importantly, individuals with malabsorption issues may take oral supplements faithfully yet remain deficient, wasting money and time while symptoms persist

Importantly, suspected neurological involvement from B12 deficiency warrants urgent same-day initiation of parenteral B12treatment should not be delayed while awaiting test results

The National Library of Medicine says these supplements contain a yellow or yellowish-orange powder

Cyanocobalamin injection

Patients can call 8-1-1 to speak with a HealthLink BC registered dietitian

This includes patients receiving intramuscular injections (typically 1,000 micrograms) for pernicious anaemia or documented B12 deficiency, as well as individuals taking high-dose oral supplements exceeding the Reference Nutrient Intake (1