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Tarrago, M

Monitoring-guided supplementation is the usual approach, typically beginning with oral supplementation if blood tests indicate suboptimal levels, and escalating to IM injection if oral treatment is insufficient or poorly tolerated

This usually lasts a day or two and then fadesits a normal immune response

This bypasses the GI tract entirely, which is the whole point: it's designed for people whose digestive system can't absorb B12 reliably

We've never actually met in person

Anecdotal evidence suggests that people who receive B12 injections before or after drinking report feeling more alert and less fatigued