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Its designed to rapidly replenish these vitamins in your body when you cannot get enough from oral supplements or diet

Take loperamide (Imodium) 2 mg as rescue for acute episodes, up to 8 mg per day

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Typically, you can start to feel the positive effects of the IM shot, between 24 - 72 hours post injection, dependent of current levels of B12 in the body

It is also important to support metabolic processes involved in energy consumption and fat burning

High dose oral cobalamin may be a suitable alternative in selective cases, where intramuscular injections are not tolerated and compliance is not a problem