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The consultation usually includes: A discussion about symptoms such as fatigue or low energy A review of medical history and previous vitamin treatment Advice on vitamin B12 and travel health Administration of the injection if suitable The hydroxocobalamin injection is usually given into a muscle in the upper arm and typically takes only a few minutes

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Vitamin B12 injections are medically necessary when a patient has severe deficiency, neurological symptoms requiring rapid correction, or a condition that prevents adequate oral absorption