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Similarly, surgeries that remove or bypass the end of the small intestine, where B12 absorption primarily occurs, can result in deficiency

The standard vitamin B12 injection dosage for adults is 6 mcg (micrograms) per day

Such episodes can occur whether one's sleeping environment is hot or cold

However, if you are sensitive to methylated nutrients or already reacting to supplements, starting with single-ingredient B12 may be safer before introducing a full B-complex