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FACT 3 OF 6 IM injections for severe deficiency or absorption failure If your sublingual dose doesnt maintain serum B12 above 400 pg/mL, switch to intramuscular injections: 1,000 mcg monthly (more often initially if very deficient)

(Thyroid problems are more common in people with pernicious anaemia.) Any psychological or nerve problems caused by vitamin B12 deficiency may take a long time to treat and may not fully resolve with treatment

If you are pregnant or nursing and concerned about nutrient levels or weight management, talk to your doctor about safer alternatives (such as prenatal vitamins, B in oral form, or other interventions) rather than using Lipo-B injections

300 mcg equals 0.3 mg