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Find out why malabsorption is happening Choose the best treatment method (e.g., injections, sublingual tablets) Keep an eye on how the patient is doing and adjust treatment if needed Medication-Induced B12 Deficiency Management Medication can also cause B12 deficiency

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Measurement reference: At 1000 g/mL concentration, 1 unit (0.01 mL) on a U100 insulin syringe 10 g of cobalamin

[13] Sublingual or oral spray formulations are popular alternatives, though evidence does not show they are significantly more effective than standard tablets for most people with normal absorption