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Many clinics use weekly or twice-weekly patterns, but protocols vary
When we use oral B12, we look at the patients health and why they might not absorb B12 well

If you are past that window and still feel worse, that is your signal to get checked rather than to keep going

The latter is better, but we recommend methylcobalamin, as it includes a methyl group and directly aids in lowering homocysteine levels and in fixing nerve damage, two issues often faced by pernicious anemia and B12 deficiency patients