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In general, epidemiological evidence suggests that the benefits of B vitamins extend well beyond the accepted biochemical cut-offs for deficiency or marginal deficiency and that consuming the RDA for some B vitamins would still leave large proportions of the population at risk of insufficiency

Vitamin B12 shots are most effective when taken at regular intervals (usually weekly or monthly) A regular healthy individual would also benefit from having vitamin B12 injections, this can promote a healthier lifestyle, increase energy and production, speed up a metabolism and its even been linked to lifting mood and decreasing depression

Yearly monitoring of B 12 status and suitable adjustment of the supplementation dose is recommended.50 For symptomatic deficiency (box 1) caused by insufficient dietary intake, intramuscular B 12 therapy is usually initiated with the aim of progressing to oral supplements once symptoms have resolved.789 Symptomatic deficiency in people with B 12 malabsorption Suggested treatment schemes differ considerably between countries

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Children and adolescents should have height and weight monitored during treatment