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The injection is given either as an intramuscular or slow intravenous injection under medical supervision

however, this is a diagnostic laboratory test interference and not a drug interaction

Therapy continues as long as positive changes occur and is adjusted or discontinued if plateaus develop or goals are achieved

However, a multicenter study in 5,485 subjects with cardiovascular disease or diabetes mellitus showed that daily supplementation with folic acid (2.5 mg), vitamin B 12 (1 mg), and vitamin B6 (50 mg) lowered homocysteine concentrations but had no effect on fracture risk compared to placebo (118)

However, there are some important factors to be aware of before deciding on moving forward with B12 injections