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The AAFP advises that injectable therapy leads to more rapid improvement and should be considered in patients with severe deficiency or severe neurologic symptoms (Langan RC, Goodbred AJ, 2017)

Prescription and Pharmacy Fees If a prescription for Vitamin B12 is necessary and filled at an outside pharmacy, there may be an additional dispensing fee charged by the pharmacy

Why intramuscular delivery changes the math An oral B12 tablet is at the mercy of your digestion stomach acid, gut health, age and certain medications all chip away at how much actually reaches your blood

For some people, an injection makes more sense because it makes nutrients such as vitamin B12, other B vitamins and magnesium much more available