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This mechanism naturally limits absorption when B12 is consumed in large quantities, with excess amounts typically eliminated through the kidneys without causing harm

I had a bout of severe anemia ten years ago, that the lab thought was P.A

Sanitize the top of a sterile 3 mL pen cartridge with an alcohol swab

If you're correcting a true deficiency, you might start with weekly injections for 4-6 weeks before moving to a maintenance dose every one to three months
