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It binds to transport proteins, primarily transcobalamin II , which delivers B12 to tissues throughout the body

However, absorption challenges and individual variability in effectiveness have led many Richmond healthcare providers to recommend vitamin B12 injections as a more reliable delivery method

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The chart below illustrates the steps that are taken prior to referring a student for an evaluation

A dose of 1000 mcg daily for 6 or 7 days should be administered by intramuscular or deep subcutaneous injection

Expired folic acid supplements may not deliver enough folate to the parent and the developing fetus