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Avoid or limit alcohol consumption while taking this medication

Symptoms like fatigue, legcramps, mood changes, and bone pain may give clues

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This page is only for those patients of Ivy Grove Surgery If you would like to self-administer B12 injections at home, please let our practice nurse know at the time of your next visit Last update: June 17, 2026 HOW TO SELF-ADMINISTER B12 INJECTIONS AT HOME SHORTCUT ivy.gs/b12 Important warnings Please download and read this safety information letter

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At the standard escalation of 2.5 mg for 4 weeks then 5 mg, you would use 10 mg in the first month (4 doses at 2.5 mg) and then continue at 5 mg per week