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Unlike fat-soluble vitamins, B12 does not accumulate in body tissues to toxic levels

25-10600 and 25-10758)

Oral administration of high-dose vitamin B 12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms

So if you can get some folinic or methylfolate, that will help

This effect is consistent with what has been observed with other GLP-1 based compounds and is thought to reflect a combination of weight-mediated reduction in vascular resistance and direct vascular effects of GLP-1 receptor activation

Vitamin B12 deficiency left untreated for more than three months may lead to permanent degenerative spinal cord lesions