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It must be used according to guidelines adding it to a powder or concentrate as directed, never injecting it by itself, and maintaining strict sterile technique

If you are severely deficient in the vitamin, vitamin B12 nasal sprays or injections are possible alternative treatments

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Monitoring Schedule: Initial phase: Weekly or monthly monitoring Maintenance phase: Periodic monitoring (e.g., every 3-6 months) By watching these lab results and making dosage changes as needed, doctors can tailor B12 therapy for each patient