Its important to monitor health regularly and consult with a healthcare provider, especially if using for long-term purposes.
Avoid sun exposure, smoking, side-sleeping, and other environmental damage
The standard approach involves 250 to 500 micrograms per day via subcutaneous injection, with peri-lesional injection as an option for superficially accessible injuries such as Achilles tendinopathy or lateral epicondylitis
Proton pump inhibitors (PPIs) and H2-receptor antagonists, used for acid reflux, reduce stomach acid production, which can impair dietary B12 absorption, though this does not directly affect injections
The administration of additional doses of specific vitamins may be required [see Dosage and Administration (2.2)]