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However, MMA levels can be elevated in those with thyroid and kidney conditions, which limits the tests specificity (9, 10)

An injection is one of the most effective ways to get B12 and is typically used for those who might not benefit from tablets, liquids or capsule supplements for any reason

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However, if it is not replenished these reserves will run out

Over 250 pounds (113kg+): Maximum standard dosing of 500mcg applies, though some individuals may benefit from extending cycle length rather than increasing dose

Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)