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PubMed ID: 26275694 Stier H et al

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if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile

Vitamin B12 injections are significantly more expensive than oral supplements when accounting for the full cost of treatment including office visits, injection fees, and ongoing maintenance appointments

Factors Affecting Individual Dosage Requirements Several factors can change the needed dosage for Vitamin B12 injections

5-Amino-1MQ Storage & Handling Capsules and vials follow different storage rules