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This dose must sometimes be doubled and recourse to the intramuscular route should be preferred only when patients are not very observant

Leave the pack, towel, or compress on the site until the swelling goes down

No plant food is a reliable source of vitamin B12, except for B12-fortified products, such as plant milks, some mock meats, cereals or nutritional yeast but those alone cannot guarantee a sufficient intake (Rizzo et al., 2016)

Summary: For most people requiring oral supplementation, cyanocobalamin is the most commonly used and effective form of B12, whilst hydroxocobalamin injections are the preferred treatment for confirmed deficiency in UK clinical practice