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Many do well on oral supplements, but someone who is already symptomatic and confirmed low may recover faster with injections before switching to oral maintenance

Your provider can offer medical advice on what you can reasonably expect from the therapy

Laurent TC, Moore EC, Reichard P

Intake of higher doses doesnt appear to be associated with detrimental health problems.2 The VNDPG recommends the following B12 guidance2: All vegetarians, regardless of type, should periodically be screened for B12 deficiency, using either methylmalonic acid (MMA) or TCII (transcobalamin) assessment