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Despite those scary possibilities, Hemphill-Bryant has reassuring info: Most people get all of the B12 they need from their diets

Gastrointestinal Laboratory

Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed

Ascorbic acid also passes into breast milk and is considered safe during breastfeeding when used appropriately

Typically, the results last one week Are there side effects

Tablets must be absorbed through the gut, which is a problem for people with absorption issues such as pernicious anaemia