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Also, people with diabetes who take a medication called metformin are at a higher risk of developing B12 deficiency because this medication can reduce B12 absorption
Key Takeaways The standard initial dose for severe deficiency is 1,000 mcg intramuscularly daily or every other day
However if you really need it and you are really low in cobalamin the cyanocobalamin will work
Moll S et al
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