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The choice between Vitamin B12 supplements vs injections depends on several factors, including: Your needs: If you have a severe B12 deficiency or require rapid B12 replenishment, B12 shots may be the more effective option

We begin with a thorough evaluation, including appropriate laboratory testing, to confirm whether a deficiency or absorption issue is present

You must start a new vial after 28 days, even if there is still fluid left

These tests include: MCV (mean corpuscular volume) Homocysteine MCV is part of the standard CBC (complete blood count) and it tends to be HIGH when you are B12 deficient