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for those with neurological symptoms, it's given on alternate days until no further improvement occurs

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The primary reasons people become deficient usually fall into two categories: Dietary Factors: Since B12 is mainly found in animal products (meat, fish, dairy, eggs), vegans and strict vegetarians are particularly susceptible if they dont consume fortified foods or specific supplements

Routine rechecking of serum B12 levels is not generally recommended for patients on regular injections as levels will be artificially high

In fact, if you suffer from gut-related issues and experience vitamin malabsorption, B12 injections might be an answer to the problem, though hydroxocobalamin is not considered an accessible option for the majority of the population due to the higher price and the required administration by a medical professional