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higher-dose oral therapy (1,0002,000 micrograms daily) may be considered as an alternative to injections in selected cases with adequate absorption For those taking supplements , consider these safety principles: Use supplements only when clinically indicated (confirmed deficiency or high-risk groups such as vegans, elderly, or those with malabsorption) In the UK, hydroxocobalamin is the preferred injectable form Avoid mega-doses without medical supervision
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The substance is given directly by subcutaneous (sub-Q), intramuscular (IM), or intra-arterial (IA) routes, as opposed to an intravenous (IV) injection/push that requires a commitment of time