is oral vitamin b12 as effective as intramuscular injection Dosage for Adults: Guidelines Best Vitamin B12 Injection Sites
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They get shots less often, usually once a month

Study of Homocysteine Concentration and Its Relationship with Vitamin B12 in Children with Autism Spectrum and Attention-Deficit Hyperactivity Disorders in Southern Libya

The traditional way of diagnosing has been with a serum B12 blood test, however many sufferers of a B12 deficiency may not have anaemia, or have a serum B12 blood level within an abnormally low range in accordance to the normal ranges set

Also, avoid rubber-closure vials, as they allow contamination through their hole and from rubber additives
