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Therapeutic dosing protocols may include: Initial high-dose therapy to correct deficiency Maintenance therapy to prevent recurrence Adjusted dosing based on patient response and laboratory results Administration Frequency Guidelines How often to take cyanocobalamin depends on the type and your health

In addition to supplementation, it may also be necessary to make dietary changes to ensure adequate intake of vitamin B12-rich foods

The symptoms of B12 deficiency will start showing up after that period. 2

This means that Prozac works by blocking the absorption of serotonin in the brain which leads to an increase of seretonin