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Of the 9 referred patients, 3 were treated with oral vitamin B 12 replacement therapy, 2 were given vitamin B 12 injection, and 2 were treated with both oral vitamin B 12 replacement and injection

Johnson LM, Ikramuddin S, Leslie DB, Slusarek B, Killeen AA

An injection into a joint is different than an injection into a bursa area which is different than a trigger point injection which is typically in muscle

If all three are in range, homocysteine is very unlikely to be elevated, and ordering it adds cost without adding useful information

Vitamin B12 injections: In cases of severe B12 deficiency, malabsorption issues, or neurological symptoms, injections often emerge as the preferred treatment

PubChem compound summary for CID 11005238, 5-Amino-1-methylquinolinium