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Listeria monocytogenes in ready-to-eat products: advice for health professionals
Regulatory Notice This compound has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease

There is an important distinction to note here

Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)
For example, Wang et al

Because they are so effective, injections are a reliable way to manage a deficiency and avoid common treatment pitfalls that can occur when absorption is a problem
