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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

While the timeline varies for each person, it typically takes a few days or weeks before vitamin B12 levels improve, reducing symptoms such as extreme tiredness or lack of energy

The Institute of Medicine states no adverse effects have been associated with excess vitamin B12 intake from food and supplements in healthy individuals. [1] However, it is important not to start a high-dosage supplement of any kind without first checking with your doctor

Blood Test The most accurate method, but it requires professional collection and lab processing, making it time-consuming