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Who actually needs vitamin B12 injections instead of oral supplements
Maintain operative note templates that include a dedicated section for documenting complexity factors
Sublingual administration, which bypasses the gastrointestinal tract, appears to be equally effective as IM injections while being less invasive and more cost-efficientparticularly in patients with atrophic gastritis, post-gastrectomy status, or conditions that impair intrinsic factor-mediated absorption, where long-term intervention is often required
Ongoing monitoring for any unexpected effects remains prudent
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