For most of us, though, it would probably be cheaper and more convenient to just take a supplement
It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of
This ensures proper tracking and prevents any mix-ups
Optimal Timing : Since it is an injection, it can be administered at any time of day, with or without food
Your Ivm provider will guide you on a treatment regimen that may include an increase in dose every four weeks
It helps form red blood cells, repair DNA, reduce homocysteine, and maintain the myelin sheath that insulates your nerves
