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High vitamin B12 levels are often seen as less concerning because they usually dont cause symptoms and are typically the sign of an underlying condition, not a direct health risk 2 , 5

Injection site reactions, transient fatigue, and mild headaches occur but typically resolve quickly

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