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A single vial can last five months at a 0.5 mg weekly dose, though you should note the 28-day stability window after reconstitution

It is important to have your B12 levels monitored by your healthcare provider at baseline following surgery and then every 3 months until they are normalized

Hold the pen with the needle pointing up and press the injection button until a drop of liquid appears at the needle tip

Common symptoms include: Anemia Intestinal issues and weight loss Fatigue, weakness, or lightheadedness Memory loss or confusion Depression or dementia Rapid heartbeat and respiration Mouth or tongue soreness or bleeding Excessive bruising Vitamin B12 injections are the most effective administration method, bypassing absorption issues in the gastrointestinal tract

Journal of Nutrition , 136 (6), 1636S1640S