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Higher-dose oral B12 (e.g., 1000 g daily) is sometimes used but should only be considered under clinical supervision with appropriate monitoring, particularly in cases of malabsorption where intramuscular treatment remains the first-line approach in UK practice
If youve had a chronic, severe vitamin deficiency for many years, your symptoms will be more significant than they would be after a few weeks of decreased B12 intake
Again this is rare and likely has more to do with preservative and other things in the injection other than cobalmin since our bodies need this molecule to survive
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