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If your vitamin B12 deficiency is not caused by a lack of vitamin B12 in your diet, youll usually need to have an injection of hydroxocobalamin every 2 to 3 months for the rest of your life

This approach identifies people who actually need it while avoiding unnecessary supplements and costs for others

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However, observational studies suggest that whilst acute toxicity remains exceptionally rare, sustained very high levels of B12particularly from supplements or injectionsmay be associated with certain health concerns, though these are correlations rather than proven causal relationships