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Laboratory evidence: A serum B12 level confirming deficiency, or prior documentation of intrinsic factor antibodies for pernicious anemia

Pernicious Anemia: Parenteral vitamin B 12 is the recommended treatment and will be required for the remainder of the patient's life

If you have trouble with absorption, Vitamin B12 shots are more effective because they bypass the digestive system

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By following these guidelines and techniques, healthcare providers can ensure patients get the most from Vitamin B12 intramuscular injections