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Both injection types are far more effective at raising B12 levels than oral supplements, but the best method really depends on your individual needs

What should I do if my symptoms return before my next B12 shot

Easyonly a small fraction of British vegans were taking vitamin B12 supplements

No comprehensive, long-term human safety studies have been published

Then, the main focus is maintaining vessel function upon the first innate reperfusion (as evidenced by an initial innate recovery while the blood supply is deprived) in IC rats [which is also applicable much later with additional bowel obstruction (IC + OB rats)], and subsequently upon massive reperfusion following the removal of vascular obstruction(s) (IC + RL rats)

References For general education only not medical advice or a treatment recommendation