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Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults

Regular complete blood counts (CBCs) are performed before each treatment cycle to ensure blood cell levels are within a safe range

It is not effective as an oral supplement due to digestive breakdown

The short answer most clinicians give surprises people: most of them take both

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