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Vitamin B12 injections are an effective alternative method to treat symptoms and give your body the vitamin B12 it needs to function

The NHS advises that taking up to 2 mg (2000 micrograms) of vitamin B12 daily in supplements is unlikely to cause harm in healthy individuals

For people with no neurological involvement Initially administer hydroxocobalamin 1 mg intramuscularly three times a week for 2 weeks, then administer hydroxocobalamin 1 mg intramuscularly every 23 months for life

I do admit this could just be the types of clients I see in clinic, and maybe none of the clients Ive worked with react to B12 or biotin supplements (remember that study listed 1 person reacting, out of 10 people)