To avoid a potential risk of hypercobalaminemia or possible health risks of high-dose dietary supplements, an annual blood test is recommended, after which targeted substitution can be performed
A case report found that taking very high doses of over 5 grams of extended-release niacin can lead to metabolic acidosis, a buildup of acid in body fluids, as well as acute liver failure both of which can be fatal ( Keep in mind that these potentially deadly side effects are associated with taking exceptionally high doses of vitamins
Medical professionals recommend that these injections should only be used during pregnancy when clearly necessary, and the risks and benefits must be carefully evaluated by a healthcare provider
However, for some individuals with residual absorption capabilities, high-dose oral supplements can serve as an alternative
The Medicare Plan Finder tool at Medicare.gov lets you input your specific doctors and medications, which reveals actual costs rather than averages
Anyway, focus on the positives I guess