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The exact treatment schedule depends on your symptoms and levels Initial (Loading) Phase: 1000 mcg Vitamin B12 injected daily or every other day for 12 weeks Goal: Replenish low B12 stores quickly Intermediate Phase: Continue with weekly injections for 4 to 8 weeks Goal: Stabilize symptoms and B12 levels Maintenance Phase: 1000 mcg every month (every 4 weeks) May continue indefinitely if the root cause is ongoing (e.g., pernicious anemia, GI surgery) For Neurological Symptoms: If youre experiencing numbness, memory issues, or balance problems , your doctor may adjust your dose: Injections twice monthly or more frequently Close follow-up is importantnerve healing can take 3 to 6 months or longer Monitoring Progress: Your provider may monitor: Vitamin B12 levels Full blood count (CBC) to track anaemia Symptoms like energy levels, mental clarity, and nerve health Cant I Just Take a Pill

Randomization provides the highest level of evidence for these evaluations, by ensuring that neither the intervention being investigated nor the comparator by default is favored through potential effect modifiers at the time of randomization

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