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It is important to maintain realistic expectationsB12 supplementation is only effective for nerve pain when deficiency is the underlying cause

Injections are appropriate only for vegans with confirmed deficiency or documented absorption problems.

The table below shows possible dosage changes for severe cases: Vitamin B12 Injection Dosage for Adults with Malabsorption Adults with malabsorption issues, like those with celiac disease or Crohns disease, might need more B12 injections

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