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In Conclusion Both B12 pills vs B12 shots can be effective ways to increase your B12 levels

The exact dose depends on the patients condition and how they respond to treatment

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Treatment with high dose vitamin B12 been shown to be safe for more than 50 years Out of fear of overdosing vitamin B12, treatment is often reduced to below the frequency that is needed by the patient, or, even worse, treatment is stopped completely

[1] Other causes include autoimmune conditions, certain infections, and inflammatory states that alter B12 metabolism or binding protein production