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Common types include: Hydroxocobalamin commonly used in the UK for deficiency treatment Cyanocobalamin often used in supplements and some injections Methylcobalamin used in certain therapeutic settings Each form has different absorption rates and clinical uses

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A vitamin B12 injection is needed after gastric banding when oral supplementation has failed to correct a documented deficiency, serum B12 remains persistently low, the patient cannot adhere to daily oral tablets, or there are signs of neurological or haematological complications