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Older adults, for instance, often have reduced stomach acid production, which can make it challenging to absorb B12 from food
For many of our patients, the right option depends on their lifestyle, symptoms, and the urgency with which they need to feel better
They start with 510 shots over a few weeks, then gradually space them farther apart, sometimes by months
For patients receiving intramuscular hydroxocobalamin, routine rechecking of serum B12 levels is not usually necessary
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