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Back in 1996 my B12 level was 69 and i was started on cynocobalamin 3mil twice a week, it took me three years to get my level up to 500 and then from there on I inject myself(or hubby does for me) 2mil every other week now for 9yrs. Methylcobalamin(sp) didn't work for me so I take the other cobalamin along with B12 sublingual tabs. I lack the intrinsic factor in the stomach that aids in the absorption of B12. I had that low of a level for a long time and have lasting medical problems stemming from it! I get a b12 level check every three months because my level drops drastically even with shots, sometimes I have a shot every week for 6 weeks then get checked and try to keep it up there. I've never had a level above 1000. I see a neurologist and hematologist for this. It's a tricky disease and Ive had all those symptoms and still a few of them linger! I had permanent damage but it's tolerable. Good luck and see a hematologist or neurologist and get treatment, my grandmother died from pernicious anemia back in 1950 and thank God we have the shots now.

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