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Typically you would be a B12 injection once a week or every few weeks, says Foxx

A typical protocol looks like this: Initial loading (for severe deficiency or pernicious anemia): Daily or every-other-day injections for 1 to 2 weeks, then weekly for 4 weeks Maintenance (pernicious anemia, ongoing absorption issues): Monthly injections indefinitely General wellness or dietary deficiency: Once every 1 to 3 months, depending on levels Your provider will check your B12 blood levels and recommend the right schedule for you

Call (916) 446-2591 to discuss your options

This helps them decide whether this option is safe for them

A raised MMA in particular is the standard way to confirm that a deficiency is real at cell level