30 years ago I was diagnosed with neuropathy. My B-12 level was low normal.My doctor said she likes her neuropathy patients in the high-normal range and she prescribed monthly B-12 injections.
I first had them done in her office but for convenience sake I learned to give them to myself.
At times I tried oral sublingual, but it was too time consuming . I skipped days. Tablets were not as effective for me. I always went back to injections.
As a side note, I do notice lower energy and too many naps, when it’s the end of the month. I do have more energy when my B-12 level is in the correct range. I’ve stuck with them for 30 years because they are effective and do make a difference.
I’ve had nurse-friends or my husband administer the shots. Now I do it. It doesn’t have to be done in the doctors office.
You said that your sister is not ready to ask the doctor to switch. I would leave it at that. She is happy with her current situation. Maybe IM ( intermuscluar) injections are the treatment of choice for her medical condition. This is a decision best made between your sister and her doctor.
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