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Addressing the prevention of B12 deficiency and its public health implications requires a comprehensive, life-course approach based on integrated strategies targeting early detection, dietary optimisation, and effective supplementation, in order to mitigate the long-term consequences of inadequate cobalamin status (Organization, 2000)

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a larger Intramuscular (in the muscle) 1 inch needles for maximum intramuscular benefit, a shorter 5/8 inch, and a smaller Deep Subcutaneous (under skin) 1/2 inch needle