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In fact, up to 88% of people on plant-based diets may lack adequate serum vitamin B12 levels

Compatibility With Other Treatments/Drugs Use caution with metabolic enhancers, GLP-1 agonists, stimulants, and blood pressure medications

Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

Common schedules include weekly injections for initial deficiency correction, then bi-weekly or monthly injections for maintenance, or as-needed for energy or performance boosts