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When you take a B12 pill, it has to go through your digestive system, where much of the vitamin can be lost before your body can use it

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The appropriate response to that uncertainty is not to abandon the compound but to use it within a structured clinical framework: defined goals, evidence-appropriate dosing, quality-assured sources, systematic monitoring, and ongoing reassessment as the science matures

Your provider can give you a better idea of what to expect, but injections are typically given bi-weekly for about three months