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High-dose oral B12 (10002000 micrograms daily) may be effective even in some malabsorption conditions through passive diffusion

Monitoring: After starting injections, B12 blood levels and hematologic response are monitored

Optimal Timing for Taking Vitamin B12 Supplements For individuals who require vitamin B12 supplementationwhether due to confirmed deficiency, dietary restrictions (such as veganism), or malabsorption conditions the timing of supplementation is generally flexible and should be guided by personal preference and tolerability rather than any specific metabolic advantage related to weight loss

Treatment decisions are made after your intake is reviewed by a licensed provider

Your GP can assess whether symptoms relate to B12 intake, adjust dosing, or investigate alternative causes