These are cautious recommendations because data are sparse
Summary: Vitamin B12 deficiency symptoms include persistent fatigue, pins and needles in hands and feet, memory problems, breathlessness, balance difficulties, and mood changes, with neurological damage possible even before anaemia develops
For maintenance therapy in individuals with dietary deficiency, doses of 50150 micrograms daily are often sufficient and better tolerated
29, 2023, pp
[4] However, consistently taking large amounts of vitamins from multiple sources could potentially increase the risk of side effects (for example, very high vitamin B intake from multiple supplements over time can cause neuropathy, and high niacin from many sources could affect your liver)
Initially, a person may need B12 supplementation shots every other day for around 2 weeks or until symptoms improve