Do you recommend starting with oral or intramuscular B12 supplementation in patients with newly diagnosed deficiency?
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1 Answers
Mednet Member
General Internal Medicine · University of Colorado
Good question - the answer has some nuances. When making this decision, I think about two things: 1) The severity of the deficiency/urgency of repletion and 2) the likely etiology of the deficiency.
Regarding #1, if a patient has symptomatic anemia or neuropsychiatric symptoms, regardless of etiolog...