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I have also had similar symptoms on a couple of occasions and it is normally after a long period without B12 and then a going back on it too quickly

SC Injection: Morning or early afternoon to minimize potential sleep disturbances

Syringes or pipettes: Use these for accurate measurement of the solvent volume

Prioritise Nutrition: Ensure you are consuming enough protein and micronutrients

The present trial should also throw light on this

You might wonder how a pill works if you lack intrinsic factor: at very high oral doses, a small amount of B12 can be absorbed directly through the gut wall via passive diffusion, bypassing the need for intrinsic factor entirely [1] [3]