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Because of that, the NICE recommendations lean towards individualised care: tailoring the dose, frequency and delivery method, following people up at around three months, and reviewing sooner if symptoms are severe or if someone is pregnant or breastfeeding

Additionally, B12 can support better metabolic function and may aid in improving sleep quality

Injections bypass these requirements, providing 100% bioavailability regardless of GI function

Metabolic flexibility and insulin resistance

For adults, a common dosage is weekly injections of 1000 mcg (1 mg) of vitamin B12

This suggests that cobalt sensitivity might be a contributing factor to these skin reactions