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Well look at the main points of vitamin B12 injection dosing, like how its given and how often

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Ask yourself: Do you often feel tired or mentally foggy? Are you a vegetarian/vegan? Do you have absorption issues or anemia? Are you over 50? If you answered yes to any of these, its worth checking your B12 levels

As one expert says, Regular monitoring is essential to tailor Vitamin B12 therapy to individual patient needs and prevent over- or under-treatment. Response-Based Dosing Strategies We adjust Vitamin B12 doses based on how well the patient responds

Notes that high-dose niacin passes into breast milk and that lipid-altering doses could pose risks to nursing infants, recommending caution or avoidance of such doses during breastfeeding)