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Once your vitamin B12 levels are within a healthy range, we typically reduce the frequency to maintenance injections, which may be given monthly
The dose is given intramuscularly to make sure its absorbed well
Regular injections help replenish these levels and sustain overall health
Conversely, isoniazid and pyrazinamide (tuberculosis drugs) are structural analogs of niacin that can interfere with niacin metabolism, potentially precipitating pellagra in rare cases
Also, IM is not necessary at all, as B12 has a long, documented history of effective SQ delivery
This proliferative potential was hypothesized by the researchers to be coupled with a shift in the balance of apoptosis-related proteins
