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However, absorption challenges and individual variability in effectiveness have led many Richmond healthcare providers to recommend vitamin B12 injections as a more reliable delivery method

Adverse Reactions/Side Effects Vitamin B12 is known to be non-toxic even in high doses

No as the body needs to absorb the single dose of B12 first

14 It recommends rapid initiation of alternate-day intramuscular hydroxocobalamin therapy, and maintenance of this treatment until all symptoms have resolved or there is no further neurological improvement, with long term B 12 therapy depending on the presence of deficiency on presentation, together with total abstinence from the use of nitrous oxide