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The intramuscular route is often chosen for the first treatment because it works well

Mixing is carried out under controlled conditions

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It is also used to manage vitamin B12 deficiencies resulting from specific surgeries, diseases of the stomach or gut, and any other genetic disorders affecting vitamin B12 metabolism

For further guidance on aseptic preparation and beyond-use dating of injectable products in UK practice, refer to SPS (Specialist Pharmacy Service) resources and MHRA guidance on the manufacture of IMPs

Vitamin B 12 is needed to produce an adequate amount of healthy red blood cells in the bone marrow