Community dosing for spray is typically expressed in the same microgram numbers used for injection without any correction for presumed lower bioavailability
Vitamin B12 deficiency can occur due to dietary restrictions (vegetarian or vegan diets), absorption issues (pernicious anemia or gut disorders like celiac disease or Crohns disease), age-related changes in elderly patients, or long-term use of certain medicines
This is because there are fewer blood vessels in the fatty tissues beneath our skin
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Also, this is crucial: For the full effects of B12 to take place, inject daily for at least three months
A patient with a serious non-healing musculoskeletal injury, conventional options exhausted, full informed consent, ideally inside a registered investigational protocol with structured safety monitoring