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When neurological symptoms like numbness or tingling are already present, that speed matters

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14 Adults under 50: ~2.4 mcg per day Adults over 50: 2.4 mcg per day Older adults are advised to supplement with B12 where necessary due to the reduced stomach acid and intrinsic factor and/or medications

It is commonly administered as an intramuscular injection, especially when a deficiency is severe or caused by absorption issues