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Key considerations for IV dosage include: The severity of the Vitamin B12 deficiency The presence of any underlying medical conditions that may affect B12 absorption The patients overall health status and response to initial treatment Clinical Scenarios for IV Administration IV Vitamin B12 is used for severe deficiencies or when other methods fail

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Human dosing, long-term safety, and drug interactions are not established

In this case, the man had followed a vegan diet for 20 years without taking vitamin B12 supplements

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