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With our 4-shot package, most patients start with injections every 1-2 weeks to build up their B12 levels, then transition to monthly maintenance doses

This is a common and temporary effect of subcutaneous delivery, where fluid sits in the fatty layer and may form a small lump that typically settles within a few days

Acetic acid water has no preservative, so it cannot be used safely for multi-draw vials

Clinical Scenarios for IV Administration IV B12 is very helpful in some situations, like when the deficiency is severe and causing neurological problems, in cases of malabsorption like Crohns disease, or when taking pills doesnt work

Several factors affect the B12 injection dose