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For patients with these conditions, a maintenance schedule of injections every one to three months is typical after getting their levels back up

Some studies suggest that sublingual cyanocobalamin (131-133) and sublingual methylcobalamin (134, 135) are effective at increasing vitamin B 12 status

B12 injection (hydroxocobalamin or cyanocobalamin): The injection completely bypasses the digestive system and sends the vitamin directly into the muscles and blood for immediate use

If you feel sick, there is an emergency plan and possible rescue

Light to moderate alcohol is usually fine, but heavy drinking can lower B12 levels and slow recovery