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Youll need to check your specific plans formulary and coverage policies

However, real-world adherence challenges and absorption variability often give injections a practical advantage

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Safe Use, Dosage, and NHS Guidance on Vitamin B12 Pills The NHS recommends 1.5 mcg daily for adults, but therapeutic doses for deficiency are much higher oral cyanocobalamin 50150 mcg daily for dietary deficiency, or intramuscular hydroxocobalamin 1 mg for absorption-related causes