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External and iatrogenic causes: Excessive supplementation: High-dose oral supplements or frequent intramuscular injections (hydroxocobalamin or cyanocobalamin) can elevate serum levels, though this rarely causes problems
Individual needs and health status ultimately determine what is best for you
The injection is given subcutaneously or intramuscularly and can be self-administered at home after training
Work with your healthcare provider to determine the ideal injection schedule
After the resolution of the deficiency, if patients show clinical or hematologic signs associated with polycythemia vera, it is recommended they undergo further evaluations
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