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The presence of elevated B12 should prompt clinicians to consider these differential diagnoses rather than attributing elevation solely to supplementation

In this answer 3 sections The reason you started with intense every other day B12 shots and transitioned to a monthly schedule is a medical strategy called loading and maintenance. When you were first diagnosed, your bodys B12 stores were dangerously low

References Amin, A

Some people benefit from faster neurological support, while others simply need to restore their B12 levels after diet-related drops