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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

Firstly, stick to a consistent injection schedule as advised by your healthcare provider

Most clinical observations and research protocols use this timeframe

American Family Physician, 96(6), 384-388

Initial research tested doses as low as 250mcg and as high as 1mg daily

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