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In the UK, intramuscular (IM) administration is standard practice for hydroxocobalamin, though subcutaneous (SC) may be used if specifically advised by your healthcare provider and following appropriate training

reconstituted vials must be maintained under constant refrigeration at 2C to 8C

Alternative product options Non-injectable B12 products that do not require gastric acidity and/or Intrinsic Factor to enhance B12 absorption include Elevated B12 levels B12 levels are rarely monitored once they are within acceptable range, and elevated levels if identified, are not addressed