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Most people who search for high vitamin B12 levels have just gotten blood work back and are confused

That is possible but requires deliberate planning, not casual consumption

Draw up slightly more than needed, then adjust to the exact dose after removing air bubbles

this is top quality B12

Store at room temperature and protect from light

The following is taken from the section, "How should treatment be given", from the peer-reviewed medical-journal article, "The Many Faces of Cobalamin (Vitamin B12) Deficiency": [Start quote] For parenteral therapy in cases of megaloblastic anemia, it has been advised to administer 1000 mg hydroxocobalamin IM twice weekly for a period of 5 weeks, and the dose is reduced to 1000 mg IM every 2 months thereafter