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B12 supplementation in elderly patients with confirmed deficiency typically takes two main forms in the UK: Oral tablets (cyanocobalamin) Intramuscular injections (hydroxocobalamin, the standard form in the UK) NICE Clinical Knowledge Summary guidance recommends investigating B12 deficiency in older adults presenting with unexplained anaemia, neuropathy, cognitive impairment, or glossitis

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To clarify, this alternative was not related to reporting but identifying clinicians for participation in ASM

NZMJ 10:1436 Tuba-Kartal A, ala-Mutlu Z (2020) Comparison of sublingual and intramuscular administration of vitamin B12 for the treatment of vitamin B12 deficiency in children

This may be at room temperature [20-25C (68-77F)] or refrigerated [2-8 C (36 -46 F)]