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

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Heres what we suggest for these patients: Give them high doses of vitamin B12 (1000-2000 mcg) often (daily or weekly) at first Consider Tiaminal B12 injections, which have both thiamine and B12 Watch their symptoms closely and adjust treatment as needed Experts say that High-dose vitamin B12 therapy can lead to significant improvements in neurological function in patients with deficiency-related neuropathy. In short, customizing B12 injection plans for the elderly and those with neurological issues is key

This is because shots enable the body to absorb vitamin B12 without going through the digestive system