Unless otherwise prescribed: At the start of treatment, 1 ml of vitamin B12-Depot-Injektopas 1500 g is administered twice a week in the first few weeks after the diagnosis (corresponding to 3000 g hydroxocobalamin acetate)
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If side effects are significant even at this dose, it may indicate the need for a slower escalation plan
Contact your provider if you experience intractable vomiting (unable to keep down fluids for more than 24 hours), severe abdominal pain (particularly if constant or radiating to the back), or signs of dehydration including decreased urination, extreme thirst, dizziness, or confusion
A reasonable candidate is someone who: Is already following a structured, clinician-supervised nutrition and activity plan Has a documented B12 deficiency or a condition that impairs B12 absorption Cannot tolerate GLP-1 medications, or is not a candidate for them Declines prescription pharmacotherapy and wants a non-stimulant, non-surgical adjunct Understands because the clinician has said so plainly that the injection is a supporting player A poor candidate is someone who wants the shot instead of the program
