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You don't get everything in your diet, and to kind of cover up for those dietary deficiencies, you need to have supplementation, She says

If your prescribed dose is 150mg, you would inject 0.75mL per dose (150mg 200mg/mL = 0.75mL)

doi: 10.1016/j.jaad.2014.03.017 44 KruegerJGBowcockA

Antibodies to intrinsic factor (IF) bind to IF and prevent formation of the IF-B 12 complex, further inhibiting vitamin B 12 absorption

This treatment is often referred to as L glutathione injection or gluta injection