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B12 is a water-soluble vitamin, so any excess quickly goes out through the urine

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Heres what we suggest for these patients: Give them high doses of vitamin B12 (1000-2000 mcg) often (daily or weekly) at first Consider Tiaminal B12 injections, which have both thiamine and B12 Watch their symptoms closely and adjust treatment as needed Experts say that High-dose vitamin B12 therapy can lead to significant improvements in neurological function in patients with deficiency-related neuropathy. In short, customizing B12 injection plans for the elderly and those with neurological issues is key

Advertisement Depending on whats causing your low B12 level, you may only need vitamin B injections until your level gets back to normal, Dr