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Amy Yasko and Nutritionist Cynthia Smith both suggest you can consider taking low dose lithium orotate (Cynthia Smith suggests approximately 4.6 mg pulsed a couple times a week before adding the B12 form in thats most likely best for you)

However, with oral supplements, it will take days to weeks to correct a deficiency

Symptoms of vitamin B12 deficiency include fatigue, irritability, anxiety, low energy, depression, forgetfulness, constipation, new food sensitivities, hot and cold flashes, sore muscles, pale skin, numbness, tingling, and dermatitis

Hair should be clipped or shaved the day prior to the treatment, but waxing or plucking is avoided for one to two weeks prior to the treatment to enhance effectiveness

If you have a severe vitamin B12 deficiency, you might feel a significant boost almost immediately