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Many commenters noted the measure requires complex integrations across multiple hospital information systems, including Picture Archiving and Communication Systems (PACS), Radiology Information Systems (RIS), CT consoles, and EHRs, and that much of the necessary data reside in imaging software rather than outpatient EMR systems

Pain may be noted with intramuscular injection

18 Malabsorption due to microbiome imbalance, gut barrier damage, chronic use of medications such as metformin and proton-pump inhibitors, and poor diet also increases the likelihood of low B12 levels

We describe the evidence base underpinning the novel sublingual, intranasal and subcutaneous modes of B12 replacement in comparison to intramuscular and oral routes, with their respective benefits for patient compliance and cost-saving

Written by the Well Labs+ editorial team Last updated July 2026 Category Overview Some vitamins and nutrients are better delivered by injection than by supplement, bypassing digestion so your body can put them to use directly