Eussen, 2006
Tiaminal B12 injections are given once or twice a week, based on the deficiencys severity and the patients response
Occasional mild reactions may include temporary redness or soreness at the injection site, a brief metallic taste, or mild dizziness that quickly passes
Pang, Y., Wang, C., & Yu, L
Treatment with intranasal cyanocobalamin should be delayed until symptoms resolve in patients with nasal congestion, allergic rhinitis, and upper respiratory infection
The frequency of B12 injections varies based on the severity and cause of deficiency: For significant deficiencies or pernicious anemia, daily or weekly shots may be started, then tapered to monthly maintenance doses