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Vitamin B12 deficiency may occur in individuals with poor dietary intake, certain gastrointestinal disorders, malabsorption syndromes, advancing age, or as a consequence of some medications that reduce Vitamin B12 absorption

Many patients receive B12 injections weekly or monthly, depending on their energy levels, health goals, and lab results

A reasonable titration schedule might look like this: Week 1: 200mcg once daily Week 2: 300mcg once daily Week 3 onward: 300-500mcg based on response and tolerance Optimizing injection technique Poor injection technique contributes to injection site reactions and potentially to other effects like nausea from anxiety around the process