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Yes, most vegans and vegetarians can maintain adequate B12 levels through consistent use of oral or sublingual supplements and B12-fortified foods such as fortified plant milks, nutritional yeast, and fortified cereals

placebolike safety profile FDA Pharmacy Compounding Advisory Committee (2024) AOD9604 bulk drug substance meeting memorandum

A 0.5mg dose is 0.2ml (20 units)
For now, indirect metabolic biomarkers remain the primary feedback mechanism

My serum tests were all over the place from low to high therefore I do not feel that they were accurate

When used in typical small volumes to reconstitute medications, it has minimal impact on the body's fluid or electrolyte balance (except potentially in very sensitive patients like neonates
