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)
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However, real life often gets in the way
Make sure to drink plenty of water to stay hydrated and consider taking electrolytes
In addition, they are costly medications, they are not always covered by insurance, and they generally need to be taken forever