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While the scientific evidence on the efficacy of lipotropic injections is still evolving, many of our patients have reported positive outcomes when used alongside lifestyle changes

Yes, injections under the skin can be given by the patient themselves

I recommend sublingual methylcobalamin (the cheapo cyanocobalamin type of B 12 is more commonly found in drugstore vitamins and has poor bioavailability), starting a loading dose of about 1,000 mcg two to three times per day for a week and then tapering down

Oral B12 supplements can be effective for individuals who do not have absorption issues

B12 is very safe, with no upper limit set

Insufficient intake The most common cause of vitamin B12 deficiency is insufficient intake (absorption), which can be caused by the following: excessive bacterial growth in the small intestine impaired absorption (malabsorption) due to coeliac disease [1] or a disease of the pancreas inflammatory diseases of the small intestine (vitamin B12 is absorbed in the small intestine) surgery on the gastrointestinal tract