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Always consult your healthcare professional

The most important factor is consistency of timing and route day to day, since the mechanism works cumulatively rather than as an acute event to time around a meal

High-dose supplementationparticularly intramuscular injections that can deliver 1,000 micrograms or morecreates substantially elevated serum B12 levels compared to dietary intake, which may more readily trigger these bacterial changes, though comparative studies between different forms are limited

If youre taking blood thinners or have any concerns about interactions, well discuss these with you and can liaise with your GP if necessary to ensure your treatment is completely safe