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If theres also a B12 deficiency in the mix, then the risk of high homocysteine levels is amplified

Because the intranasal forms have lower absorption than the IM dosage form, intranasal B12 forms are administered once weekly

Frequent injectionsoften given every other day or weeklybypass the digestive system to rapidly flood the body with B12 [1] [2]

In summary, expect gradual improvements rather than an immediate surge

What B12 does in your body Vitamin B12 (cobalamin) is a water-soluble nutrient found mainly in animal foods like meat, fish, eggs, and dairy

It contains benzyl alcohol, preventing contamination during multiple vial withdrawals