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Washington, D.C.: National Academy Press

How much is a B12 shot

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The vital signs of the patient need to be monitored when this drug is given

This timeline matches B12 pharmacokinetics: intramuscular methylcobalamin reaches peak serum concentration at 8-12 hours, but tissue saturation (particularly in the liver and nervous system) occurs over 48-72 hours as the vitamin is transported into cells and converted to active coenzyme forms (Andrs et al., 2018)