Some use cycles (12 weeks on, 4 weeks off)
This shows the need for consistent shots to maintain optimal B12 status
Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8
Most patients begin noticing improvements in sleep, energy, and recovery within the first 23 weeks
(source) Ng FM, Sun J, Sharma L, Libinaka R, Jiang WJ, Gianello R
We also note with regard to the Hyde Amendment that both direct GME and IME payments are made only with respect to services otherwise payable under Medicare, and that abortion services are not payable under Medicare except under the limited circumstances specified in the Hyde Amendment