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For patients without absorption disorders, high-dose oral B12 supplements (1,000-2,000 mcg daily) have been shown to be comparably effective to injections in correcting mild to moderate deficiency

How to Use: Typical dosage is to inject 1 mL into the muscle or under the skin once per month Use a clean needle and syringe for each injection Follow your healthcare providers directions closely Warnings: Not for individuals with hypersensitivity to cobalt or vitamin B12 Use with caution in patients with Lebers disease or other optic nerve disorders In rare cases, high doses may lead to low potassium levels or allergic reactions

[13] [15] There is a risk of oxalate nephropathy or kidney stone formation, particularly in patients with pre-existing renal impairment or those receiving prolonged high-dose therapy

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