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Additionally, B12 supplements are recommended for vegans or individuals with absorption issues to maintain adequate levels

Consider staying at your current dose for an additional 2-4 weeks if you experience: Persistent nausea or vomiting lasting more than 3 days Rapid weight loss exceeding 3-4 lbs per week Severe constipation or diarrhea Signs of dehydration Significant injection site reactions The goal is to reach the maintenance dose gradually