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Patients with pernicious anemia require monthly injections of cyanocobalamin for life

The longer one is supporting the conditions that made deficiency likely: a fragile gut, reduced appetite, inflammation, and the general narrowing of physiologic margin that comes with age

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For most patients, a weekly B12 shot for the first four weeks rebuilds depleted B12 levels, followed by maintenance shots every two to four weeks

Policy Unfortunately, youll have to be patient, says dermatologist Alok Vij, MD

*The American Journal of Clinical Nutrition*, 87(3), 688-691