Levy, R
Regular injections ensure a steady supply of B12
We found very low-quality evidence that oral vitamin B oral treatment costs less 12 appears as safe as IM vitamin B 12
Options for managing tolerance include a brief dose reduction for 4 to 8 weeks ("drug holiday" at a lower dose, not complete cessation), lifestyle optimization to maximize the medication effect, evaluation for other contributing factors (thyroid function, cortisol, sleep quality, medication interactions), and consideration of adding a complementary compound to address specific aspects of the plateau
The loading phase is extended, with injections given on alternate days until no further improvement is observed, which may take several weeks or months
How to Get Best Results Follow doctor instructions strictly Maintain healthy nutrition Stay consistent with treatment Contraindications Do not use if allergic to Vitamin B12 or any component of the injection