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References: British Columbia Medical Association

Circulation 98 : 204210

By contrast, injections into muscle quickly saturate B12 receptors, correct any deficiency that may be occurring, and temporarily treat any dependency that is also present

check their B12 status, and request it to be checked if it is not available, ensure the levels are more than 300 pmol/L and not above the recommended upper limit, recommend reducing frequency of the intervention if the levels are at the high end of normal range or above range