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For patients who experience a paradoxical decrease in energy levels, it doesnt mean you should stop taking the B12 but instead decrease your dose by half (so take 2,500mcg every 7 days) or simply take 5,000mcg every 14 days instead

If landmarked correctly, this approach avoids the sciatic nerve and artery

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It is composed of: Adenosylcobalamin 2mg Methylcobalamin 2mg Hydroxocobalamin 1mg Water for Injection up to 5ml Vitamin B12 injections and infusions are indicated for use in those with low Vitamin B12 levels, or B12 deficiency