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Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year

Some people do not mind this, especially if their provider believes injection is the better route for their goal

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Wellness 20 July 2025 7 min read Needle Size for a B12 Injection: A Simple Guide By Alaiyka Parvez Owner, CoLaz Aesthetics Clinic The short version For an intramuscular B12 injection, the usual choice is a 22 to 25 gauge needle, 1 to 1.5 inches long, given at 90 degrees into the deltoid