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Generally, after 812 weeks of continuous use, a 4-week washout period is required to avoid tolerance from long-term continuous use

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If you are asymptomatic, we will usually suggest oral supplementation before any injection

Long-Term Management of B12 Deficiency Managing vitamin B12 deficiency in the long-term typically involves: Regular B12 supplementation, either through injections or oral therapy Dosage can vary from 1 to 5 mg daily Administered over a period of one to four months or until laboratory results indicate improvement in hematologic and/or neurologic functions Consult with a healthcare professional for personalized advice on managing vitamin B12 deficiency in the long-term and determining the most appropriate supplementation method for you

It may also cause diarrhea