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Upper arm: This site is best for young or middle-aged adults

The NHS gives hydroxocobalamin as an intramuscular injection, but published evidence shows the subcutaneous route is a recognised and similarly effective alternative

Always check the packaging for specific storage instructions, as some formulations may require refrigeration after being opened

The liquid medication inside should be clear to slightly yellow

For subcutaneous B12 injections, a needle with a gauge of 25-27 and a length of 3/8 to 5/8 inch is commonly used

Some individuals opt for faster absorption with IM shots, while others prefer the slower, controlled absorption that subcutaneous injections provide