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Its common to start treatment for a significant vitamin B12 deficiency with weekly intramuscular shots (1000 micrograms of vitamin B12)

As your body's stores replenish over the first month of consistent treatment, energy levels tend to become more stable through the week

When hydroxocobalamin is given in high doses (such as during cyanide poisoning treatment), unique effects can be observed: patients often experience a transient reddening of the skin or mucous membranes and a reddish discoloration of the urine due to drug excretion

Good food sources include meat, fish, eggs, and dairy products, so those who are vegan or vegetarian may not get enough B12