The areas of the body that have more of this soft tissue, areas such as the stomach, upper thigh, or upper arms generally absorb the medication more evenly
Intestinal absorption and concurrent chemical changes of methylcobalamin
KPV: Limited clinical and preclinical evidence Mechanistic NF-B data Small clinical trials in IBD (oral) and atopic dermatitis (topical/oral) No published subcutaneous human data for systemic effects
The safety profile is comparable across injection, oral, and sublingual forms
Important things to consider for the rate of administration include: Watching the patients vital signs Changing the rate based on how the patient reacts Not giving it too fast to prevent bad reactions Emergency Protocols for Severe Deficiency For severe Vitamin B12 deficiency with neurological symptoms or severe anemia, emergency steps are needed
2 Table 2 Clinical Manifestations of Vitamin B12 Deficiency Maternal vitamin B 12 deficiency during pregnancy or while breastfeeding may lead to neural tube defects, developmental delay, failure to thrive, hypotonia, ataxia, and anemia
