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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

There is no published evidence base for cycles longer than 24 weeks, so any extended use is unsupported by trial data

Intravenous Dose Administration Intravenous (IV) Vitamin B12 is for severe cases or when quick action is needed

Monthly plans are typically dispensed as a single vial and are intended for use within five weeks