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Adults can completely fail to absorb the vitamin administered orally

Frequently Asked Questions How often do I need vitamin B12 injections for pernicious anaemia

Healthcare experts often recommend Vitamin B12 injections for adults, mainly those with absorption problems or high needs

Remember, the duration of efficacy of a B12 shot is an estimate and varies from person to person

Vitamin B12 Health Professional Fact Sheet.

It is important to note, however, that in the case of medicines administered by injection, the MHRA is governed also by the foundational Medicines Act 1968 (now largely embodied in the Human Medicines Regulations 2012 )