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He can have a higher risk of blood clots

Those with confirmed deficiency may require parenteral (injectable) B12, as oral supplementation may be inadequate

Clinical Manifestations of Vitamin B12 Deficiency Although the classic hematologic expression of vitamin B 12 deficiency is a megaloblastic macrocytic anemia characterized by an elevated mean corpuscular volume and mean corpuscular hemoglobin, and a peripheral smear containing macroovalocytes and hypersegmented neutrophils, up to 28 percent of affected patients may have a normal hemoglobin level, and up to 17 percent may have a normal mean corpuscular volume

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When to Consider Oral Vitamin B12 Supplements For Maintenance or Mild Deficiency : If youre generally healthy and need B12 supplementation to maintain healthy levels or correct a mild deficiency, oral supplements are a convenient and cost-effective option