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For patients who experience a paradoxical decrease in energy levels, it doesnt mean you should stop taking the B12 but instead decrease your dose by half (so take 2,500mcg every 7 days) or simply take 5,000mcg every 14 days instead

However, this dosing schedule does not have a strong evidence base, and many individuals with PA / B 12 deficiency / PA report requiring more frequent injections for adequate symptom relief [3]

Expected duration of vitamin B12 deficiency With proper treatment, symptoms of vitamin B 12 deficiency begin to improve within a few days

Both forms have advantages and potential drawbacks, making it essential to discuss with a healthcare provider before making a decision

Stomach acid tends to decrease with age, which makes it harder to extract B12 from food