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Specific Dosage Guidelines Severe Deficiency : For patients with severe vitamin B12 deficiency, an initial dose of 1 mg (1000 g) of intramuscular hydroxocobalamin is commonly administered

The body will break down B12 if it has no use for it, and since it is water-soluble the excess will be eliminated naturally
Altogether it can be concluded that an observed elevation of cobalamin in blood merits the a full diagnostic work up to assess the presence of disease
Dietary vitamin B 12 2 deficiency consider oral vitamin B 12 replacement

Pharmaceuticals 15 , 848 (2022)
