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For those with irreversible causes such as pernicious anaemia or malabsorption, injections are usually given every 23 months

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This is a much larger quantity than most peptides and creates unique challenges

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However, to maintain optimal B12 levels and sustained benefits, regular injections are often necessary, typically every few weeks or months

Adenosylcobalamin Injections: Adenosylcobalamin is less commonly available as an injection but may require similar storage conditions to other B12 formulations