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On the other hand, oral pills are a convenient and affordable option for long-term use

However it is not uncommon for some symptoms of B12 deficiency to appear to get worse before they get better

Updated 2 July 2026

Using a 10mg vial reconstituted with 2mL (concentration: 5mg/mL): At 2mg per week: Draw 0.4mL = 40 units

GLP-1 peptides commonly cause: Significant nausea : Often severe enough to require dose titration over months