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High-dose supplementationparticularly intramuscular injections that can deliver 1,000 micrograms or morecreates substantially elevated serum B12 levels compared to dietary intake, which may more readily trigger these bacterial changes, though comparative studies between different forms are limited
Wang Z et al
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This direct delivery is why the timeline for injections is often measured in days rather than weeks, especially for someone who was deficient
If that is the case, then visit your local travel clinic