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This is essentially done because the body can absorb vitamin B12 through shots without going through the digestive system

Parenteral vs oral vitamin B12 in children with nutritional macrocytic anemia: a randomized controlled trial

Blood levels take about four weeks to settle after a step. The stomach-slowing effect that drives early nausea builds and then adapts over roughly the same window. And gut symptoms cluster at the first dose and at each increase, then ease with time on a held dose. The label waits for the last step to settle before adding the next