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The reason is simple: Vitamin B12 is a water-soluble vitamin and your body eliminates any extra through your kidneys and through your urine

Feb 2021;271(1):199-210

British National Formulary Hydroxocobalamin

If your schedule or location makes regular clinic visits impractical, this model may fit well

The National Institute of Health (NIH) shares that the recommended dietary allowance (RDA) for vitamin B12 is: Infants 06 months: 0.4 microgram Infants 712 months: 0.5 microgram Toddlers 13 years: 0.9 microgram Children 48 years: 1.2 micrograms Children 913 years: 1.8 micrograms Adult men and women over age 14: 2.4 micrograms Women who are pregnant: 2.6 micrograms Women who are breastfeeding: 2.8micrograms For adults over 50 years old, the NIH recommends taking a daily vitamin B12 supplement or consuming foods fortified with vitamin B12

absence of an history of adverse reactions to BTX-A