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I reached out to our Medical Director handing our Vaccine clinics (who also happens to be my PCP)

It usually takes about 3 months (90 days) or more (if you experience side effects) to reach the full therapeutic maintenance dose (25 mg)

Populations at a higher risk of vitamin B12 deficiency include people who are vegetarian or vegan, exclusively breastfed infants of vegan women, older adults, those with gastrointestinal disorders or who have had gastrointestinal surgery, and people with an autoimmune condition known as pernicious anemia

This timeframe allows you to complete necessary bloodwork, receive results, consult with your provider, and establish the lifestyle habits that support optimal results