if it specifies oral/sublingual, the same per-dose amount is the reference point, delivered by that route instead of a syringe
Some more severe, but rare, side effects that can occur are low potassium levels, muscle cramps, irregular heartbeat, chest pains, or blurred vision
Most practitioners recommend starting at 250-300 mcg daily to assess tolerance, then potentially increasing to 400-500 mcg if initial response is suboptimal and no side effects occur
These include: Improved energy Weight loss Improved capacity to exercise Metabolic homeostasis The potential to boost longevity Are there side effects
Hypokalemia: In extremely rare cases, B12 injections may lead to low potassium levels in the blood, known as hypokalemia