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13 A recent survey of 204 patients suggested that oral B 12 was associated with less effective symptom improvement than parenteral treatment

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This page is only for those patients of Ivy Grove Surgery If you would like to self-administer B12 injections at home, please let our practice nurse know at the time of your next visit Last update: June 17, 2026 HOW TO SELF-ADMINISTER B12 INJECTIONS AT HOME SHORTCUT ivy.gs/b12 Important warnings Please download and read this safety information letter

About 60% of the dose is eliminated via urine, less than 1% is excreted unchanged and the rest is eliminated through the bile in the feces modified