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A general approach may include: Weeks 14: Lower starting dose Weeks 58: Dose adjustment based on tolerance Weeks 9+: Continued titration as directed by your provider Regular follow-up with your provider is important

Severe stomach pain or sudden swelling needs prompt medical attention

Treating or preventing B12 deficiency Pernicious anemia Low energy and fatigue Nerve health and tingling/numbness Support for vegetarians and vegans Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA

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You should typically feel the peak of its effect one to three days after the injection, and then it holds steady until its time for the next one