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If youre severely deficient, your provider may recommend more frequent injections at firstoften once per week before switching to monthly maintenance doses

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That is an important framing for anyone tempted to treat it as a shortcut: even in the animal work that generates the interest, the compound is one input alongside energy balance, not a replacement for it

This is helpful in cases where patients have multiple vitamin deficiencies

This step only needs to be done once per vial

The problem with this is that many sufferers of a B12 deficiency may not have anaemia or have a serum B12 blood level within an abnormally low range in accordance with the normal ranges set