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Form: Sterile water for laboratory use

IM stands for intramuscular injection , which means the vitamin is injected directly into the muscle for faster absorption into the bloodstream

Injections are particularly appropriate for those with: Pernicious anaemia, an autoimmune condition affecting B12 absorption Conditions affecting the stomach or small intestine, such as Crohns disease or coeliac disease Those who have had gastric surgery or bariatric procedures Strict vegans and vegetarians not meeting their B12 needs through food or oral supplements For those who can absorb B12 normally, oral supplements are generally an effective and well-evidenced alternative to injections

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Fluid therapy is critical to improve hydration and blood flow to the pancreas (and other tissues) and to correct any electrolyte abnormalities