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[95] Intramuscular or intravenous injection [edit] Injection of hydroxycobalamin is often used if digestive absorption is impaired, [2] but this course of action may not be necessary with high-dose oral supplements (such as 0.51.0 mg or more), [97] [98] because with large quantities of the vitamin taken orally, even the 1% to 5% of free crystalline B 12 that is absorbed along the entire intestine by passive diffusion may be sufficient to provide a necessary amount

Sterile water for injection is widely available at pharmacies, often without a prescription, and through medical supply distributors

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Some people notice appetite changes or reduced cravings on the starting dose, but significant weight loss usually occurs after gradual dose increases

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