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Keeping a symptom journal between doses can help fine-tune the form and frequency with better long-term results

Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed

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The exact timing is completely personalit all depends on your bodys unique response, any underlying health issues, and how quickly you use and store Vitamin B12

Oral supplementation is commonly used as a first-line approach