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Extended escalation for sensitive individuals If standard 4-week intervals produce intolerable side effects, extending each phase to 6 or 8 weeks is a reasonable modification

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These include: Paraesthesia (pins and needles) in hands and feet Difficulty walking or balance problems Memory impairment and cognitive changes Mood disturbances, including depression and irritability Visual disturbances (rare, such as optic neuropathy) Gastrointestinal symptoms such as diarrhoea, constipation, or loss of appetite may also occur, particularly when deficiency results from malabsorption

However, the absorption of oral vitamins is often influenced by several factors that impact their bioavailability and effects on our health

Also recommended: Top 16 Vitamin B12 Foods (& Recommended Daily Dose) tuasaude.com/en/vitamin-b12-foods Possible side effects Some side effects can occur following the first B12 injection, or they can emerge after several doses