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A 1 mL solution has 1000 mcg of Vitamin B12

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In older people, a B12 deficiency usually happens as a result of insufficient levels of either stomach acid or intrinsic factor that limit absorption

After initiation and dose increases, patients should be observed carefully for signs and symptoms of pancreatitis (including persistent severe abdominal pain, sometimes radiating to the back and which may or may not be accompanied by vomiting)