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- High-dose oral B12 treatment Instead of taking the injection route, a provider may prescribe a high-dose B12 oral treatmenta pill, capsule, or lozenge containing a higher concentration of B12 than your average over-the-counter (OTC) supplement

Cyanocobalamin poses additional risks to smokers, and to individuals with methylation, liver or kidney issues, as these conditions can make it difficult to eliminate cyanide

To help bypass any barriers to absorption in the GI tract, many healthcare providers recommend B12 injections for deficiency, but research shows that very high doses of oral B12 (1,000 to 2,000 mcg once a day) can normalize serum B12 levels to a similar extent with minimal side effects

Pain, itching and irritation in the anal region

The only thing one of my doctors discovered is that I am D deficient