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[1] For example, if a 2 mL dose (full 200 mg thiamine, 200 mg niacinamide) is to be given IV, a nurse might mix it into 50 mL of saline and infuse over 15-30 minutes

During your initial consultation, we will review your medical history and test your serum vitamin B12 levels to determine if you suffer from vitamin B12 deficiency

fructosamine or glycated albumin may also be considered as short-term alternatives when HbA1c is unreliable Document the timing of B12 treatment initiation in the patient's records to contextualise any HbA1c results obtained during this period This approach ensures that clinical decisions regarding diabetes diagnosis or medication adjustment are based on accurate data rather than a transiently distorted HbA1c result

Intramuscular vitamin B 12 can be administered in two different forms: cyanocobalamin and hydroxocobalamin