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Intramuscular injections are often used first

Conditions such as malnutrition, alcoholism, certain medical conditions (e.g., Crohns disease, celiac disease), or restrictive diets (e.g., veganism without adequate supplementation for *B12*) can lead to deficiencies in one or more of these crucial vitamins

Generally, I suggest 1 B12 shot weekly for 6 weeks to build it up in the system

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I have been using a lower dose for three months and feel good