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Using the wrong dosing strategy for your B12 type could explain why your shots arent working as well as expected

Self-administered B12 shots are generally recommended for individuals: whose bloodwork has documented low B12 levels Patients with pernicious anemia or a lack of intrinsic factor Individuals with Crohn's disease, celiac disease, or post-bariatric surgery malabsorption Vegans and strict vegetarians are unable to correct the deficiency through diet Older adults whose stomach acid production has declined with age Anyone on long-term metformin or proton pump inhibitors Across most of the U.S., injectable B12 is not sold over the counter a clinician has to write the script before a pharmacy can dispense it

Many practitioners recommend splitting daily doses: 250 mcg morning and evening for improved consistency

Duration of use for cardiovascular goals typically follows the standard 4-6 week protocol, though some users extend to 8 weeks for chronic conditions