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According to the NHS, the usual pattern depends on the cause: Non-dietary cause (for example an absorption problem): an injection of hydroxocobalamin every two to three months, usually for life
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It naturally occurs in most foods, including milk and dairy, salmon, poultry, eggs, spinach, and almonds
The frequency of B12 injections varies based on the severity and cause of deficiency: For significant deficiencies or pernicious anemia, daily or weekly shots may be started, then tapered to monthly maintenance doses
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