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If your doctor tries to get you off the shots in favor of oral B12 supplements (tablets, spray, etc), do not accept that as treatment

Knowing when to reduce dose or discontinue Not every side effect requires discontinuation, but some warrant reducing dose or stopping use

The standard approach starts at 2.5mg weekly for four weeks, then escalates in 2.5mg increments every four weeks based on tolerance and response

When lupus affects the kidneys it can lead to high blood pressure

IM injections are slow release, which means they are not absorbed in the digestive system, so may take a little more time to work through your system