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The clinical evidence-based analysis has found that oral supplementation is as effective as intramuscular injections

Some patients benefit from weekly injections at first, while others maintain results with monthly treatments

If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended (10, 13)

It helps ease symptoms like tiredness, weakness, and neurological problems

[4] However, consistently taking large amounts of vitamins from multiple sources could potentially increase the risk of side effects (for example, very high vitamin B intake from multiple supplements over time can cause neuropathy, and high niacin from many sources could affect your liver)