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If not addressed, insufficient B12 levels can impact the production of red blood cells, nerve function, and overall vitality

A Cleveland Clinic review notes that one case report described symptoms only after a cumulative 15,000 mcg (15 mg) of injected B12 over several weeks
Weight-Loss Surgery Gastrointestinal procedures such as bariatric surgery, or removal of part of the stomach, cause partial or complete loss of the cells that secrete hydrochloric acid and intrinsic factor, reducing B12 absorption

Summary: Adults with B12 deficiency and nerve pain typically require 1 mg hydroxocobalamin injections intramuscularly on alternate days until symptoms improve, followed by maintenance injections every two months
