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It is not approved by the FDA for human use

For anyone dealing with GLP-1 medication side effects , that difference is significant

Direct Dosage: A single B12 injection often delivers a much higher dose directly into the system than a typical daily oral tablet, particularly when considering the limited absorption rate of the latter, contributing to their perceived and actual strength. However, for individuals with mild dietary deficiencies and no underlying absorption problems, high-dose oral B12 supplements (e.g., 1000-2000mcg daily) can sometimes overcome the need for intrinsic factor by allowing for a small amount of passive absorption, eventually raising levels, though this method is less predictable and slower than direct injection

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No, alcohol should not be consumed with this injection

These recommendations are for the cyanocobalamin form of B12 onlythe form in fortified foods and most supplements