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For patients with a diagnosed Vitamin B12 deficiency, our medical team typically recommends an initial loading phase, which may involve daily injections or several injections per week over the first one to two weeks

Medications given this way include heparin, enoxaparin (Lovenox), insulin, pegfilgrastim (Neulasta), adalimumab (Humira), etanercept (Enbrel), gosrelin (Zoladex), and epoetin alfa (Procrit) Intramuscular (IM) injection is a shot of medicine deep into a muscle

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Summary: A hydroxocobalamin B12 injection typically maintains therapeutic levels for approximately 8 to 12 weeks in most patients, which is why maintenance injections are usually given every 2 to 3 months