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Clinical Indications for Higher IV Dosages For very severe cases, like serious neurological problems, higher doses of IV vitamin B12 might be needed

According to current case reports, the phenotype of epilepsy associated with noninfantile vitamin B12 deficiency remains uncertain and may present with complex partial seizures, generalized seizures, tonic clonus and generalized tonic-clonic convulsions

Also, individuals who have undergone certain surgical procedures, including intestinal resection, bypass, or bariatric surgery, which may reduce Vitamin B12 absorption, are also eligible

Everyones pain tolerance is different

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Many vitamin B12 supplements on the market contain cyanocobalamin