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If you have dosed consistently through a fair trial window and genuinely see nothing, that is a reason to talk to your provider, not a reason to quietly increase the dose

In those situations, professionalgrade supplements or B12 injections are often recommended to prevent deficiency. When to Consider Vitamin B12 Injections You may be a good candidate for vitamin B12 injections if you have a confirmed deficiency, ongoing fatigue, known absorption problems, or dietary patterns that make it hard to get enough B12 from food alone

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