Subcutaneous administration of vitamin B12 is sometimes employed, especially in patients with congenital cobalamin metabolism disorders who require high doses to maintain normal metabolic pathways
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Compounding medications are compounded by state licensed compounding pharmacies, federally registered outsourcing facilities, or a physician
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The board members highlighted the importance of considering prophylactic vitamin B12 in people using metformin [93] or L-DOPA [94,95] to reduce the possible increased risk of neuropathy due to vitamin B12 deficiency, although this needs to be tested in randomized controlled trials