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The realistic caveat is that long-term maintenance without pharmacologic or procedural support is difficult for most people which is the entire reason the rest of this list exists

Biochemistry (2018) 57(40):57759

[9] [2] According to NICE guidance, patients with confirmed B12 deficiency and neurological involvement typically require more frequent initial dosing (alternate-day injections) until symptom improvement occurs

B12 Injections: Pros and Cons Injections deliver B12 directly into the muscle, where it is absorbed rapidly into the bloodstream

33 This article updates previous articles on this topic by Langan and Zawistoski, 4 and by Oh and Brown