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Vitamin B12 Injections In cases of severe deficiency, malabsorption, or pernicious anaemia, intramuscular B12 injections are commonly used

A 2025 European Journal of Clinical Nutrition commentary on the NICE guideline argued that the diagnostic threshold and clinical awareness still need to be tightened further, especially around pernicious anaemia, which is still under-recognised in primary care

Int J Geriatr Psychiatry 2019;34(6):828835

In contrast, three samples were incorrectly labeled, and the declared API was absent
