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Injections are delivered monthly, when possible, but only with a healthcare professional

It simply passes through and is excreted

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When to Adjust Dosing Regimens Deciding to change the dose of Vitamin B12 shots depends on lab results and how patients feel

[2] For this reason, elevated serum homocysteine over 15 micromol/L and methylmalonic acid (MMA) over 0.271 micromol/L are considered better indicators of B 12 deficiency, rather than relying only on the concentration of B 12 in blood