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But they can get it from B12 supplements or fortified cereals and breads

Vitamin B12 toxicity from supplements is extremely rare because it is water-soluble and excess amounts are excreted through urine

Note that these two documented starting doses are worlds apart in size 150 mcg versus 2.5 mg is a roughly 17-fold difference

This prescription form of B12 is the one most often recommended by healthcare professionals, including primary healthcare services, because it stays in the body for longer, only requiring repeat injection every three months

[24] How soon should neurologic symptoms begin to resolve after starting therapy