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If fatigue persists despite these interventions, or if it is accompanied by other concerning symptoms, further medical evaluation is warranted to exclude alternative diagnoses

The muscle is injected with the medication (known as an intramuscular injection)

When B12 is given this way, it goes directly into the bloodstream through the muscle tissue instead of first passing through the digestive system

BMC Pediatr 2015;15:218 10.1186/s12887-015-0533-2 [DOI] [PMC free article] [PubMed] [Google Scholar] 16
