This was a recommendation both in the James Lind Alliance Priority Setting Partnership which PAS initiated and funded and in the NICE Guideline on B12 Deficiency which PAS initiated
After your initial course of injections it is recommended to have a top up injection every 2-3 months to maintain your vitamin b12 levels
It also depends on how frequently youre receiving the shots, since this can affect the amount of vitamin B12 in your body
4.2 Detailed expandable studies Study 1: Heffernan 2001, foundational mechanism Citation: Heffernan M., Summers R.J., Thorburn A., et al
There are capsules, creams, and nasal sprays
systolic blood pressure down 6-9 mmHg, reversing on withdrawal: Sattar Ann Rheum Dis 2026