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Deficiency is also prevalent in seniors because the capacity to absorb vitamin B12 can diminish with age

[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life

Finally, dietary habits and overall lifestyle can also influence B12 absorption

The primary safety concern with compounded lipotropic preparations is variability in formulation quality and sterility , as compounding pharmacies operate under different regulatory standards than pharmaceutical manufacturers