It can lead to serious issues if not handled correctly
Eat more B12-rich foods
Red flag #6: Before-and-after photos that all look the same If every before photo is a glum, downcast, harsh-lit shot and every after is a smiling, well-lit, professionally-edited image, you are looking at photography tricks, not clinical results
Duclos G, Baumstarck K, Dnser M, Zieleskiewicz L, Leone M
I do not recommend a reward system unless it is absolutely the last straw
Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed