Quick Start Route
Oral, sublingual, or injectable
Start low
1000-5000mcg Sublingual
Frequency
1x daily oral; weekly to monthly injectable
Morning preferred.
❋Start here. Every protocol below is ordered lowest-first. Begin at the smallest effective dose, hold about a week to assess tolerance, and step up only if needed.
Tiered Protocols · lowest first
Conservative start
1000-5000mcg daily oral/sublingual · Oral, sublingual, or injectable · 1x daily oral; weekly to monthly injectable
conservative starter
1000-5000mcg daily oral/sublingual
1x daily oral; weekly to monthly injectable
Standard B12 Replenishment
1000 mcg · IM · Weekly
human study · Vidal-Alaball et al. 2005 (Cochrane Database Syst Rev)
Methylated form is superior for individuals with MTHFR mutations.