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IV fluids may support hydration and normal kidney function, which plays a role in the bodys natural waste elimination processes

Hamasaki H, Honda H, Suzuki SO, Hokama M, Kiyohara Y, et al

Standard initial therapy for patients without neurological involvement is 1000 mcg intramuscularly (i.m.) three times a week for 2 weeks

The AAFPs evidence-based clinical review states directly: Oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms in patients with B12 deficiency (Langan RC, Goodbred AJ, American Family Physician, 2017)