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Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults

B12 is present in a variety of food sources (mainly animal-based products), where it is bound to protein molecules

Alternate injection sites include the outer thigh or upper arm fatty tissue if rotating sites to prevent lipohypertrophy (tissue buildup from repeated injections)

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Do not freeze the solution

The injection involves a small needle into the muscle (usually upper arm or thigh) and feels similar to a flu shot