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For nerve pain, the usual dose of vitamin B12 is 500 to 2000 mcg daily

Allergic reactions Allergy to vitamin B12 is quite uncommon, but some people might experience allergic symptoms, especially when they first start supplementing

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Maintenance phase: Once the loading phase is complete, patients transition to maintenance therapy with 1 mg hydroxocobalamin intramuscularly every two to three months for life

Because there are no appetite effects, dietary adherence throughout this phase depends entirely on the individuals chosen nutrition approach rather than on peptide-induced hunger suppression