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Some people with pernicious anemia can get enough B 12 into their systems by taking doses of 1 to 2 milligrams in pill form

How long it takes a lipotropic injection to work will depend on several factors

Dietary Sources and Alternatives to Injections In addition to injections, there are other ways to ensure your body receives adequate Vitamin B12

Because B12 injections deliver B12 straight into your muscle and bloodstream, they skip the slow digestive route that oral pills rely on, so you notice the difference far sooner than you'd expect

But in general, these folks are more likely to be B12 deficient: vegetarians or vegans people taking certain medications (like metformin, Prilosec, or Pepcid) pregnant and breastfeeding people people over 50 people with atrophic gastritis, celiac disease, Crohns disease, or who have had stomach or intestinal surgery Which form of vitamin B12 is best