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Injectable B12 may deliver better results because: Direct bloodstream access bypasses digestive absorption barriers Higher bioavailability allows for less frequent dosing Consistent therapeutic levels maintain steady benefits [6] Disclaimer: The FDA does not approve compounded medications for safety, quality, or manufacturing

However, full effects on metabolism and other areas may take 4-6 weeks as it takes time for levels to build up in the body

Treatment should not be delayed pending test results if neurological features are present

Don't append it to an E/M code

This means oral supplementation with crystalline B12 can be effective even when food-bound B12 absorption is impaired

At 10mg/mL, a 2mg dose is 20 units