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IM Injection Protocols for Pernicious Anemia Intramuscular (IM) shots are a common way to give vitamin B12 to those with pernicious anemia

Reconstituted solution at 2-8C, use within 21 days

These include: Avoid known triggers, such as stress and excessive sun exposure

A blood test that checks your B12 levels can rule out or confirm that a vitamin deficiency is the cause

Choosing Between Vitamin B12 Injection and Oral Medications Deciding between injections and oral vitamin B12 depends on the cause and severity of deficiency plus patient preference