The body excretes it faster, so you may need more frequent jabs
Upon taking a history, the woman, who had not suffered from acne before, had recently received 3 weekly injections of vitamin B12, administered privately by a nurse in a local beauty salon without any screening for vitamin B12 deficiency

The signs and symptoms of B12 deficiency that indicate you may benefit from vitamin B12 injections include: chronic fatigue, lethargy and weakness Muscle aches, joint pain and trouble exercising Poor memory, inability to concentrate and other cognitive problems associated with aging Mood changes, like increased depression and anxiety, or signs of nervousness like rapid heartbeats/palpitations Poor dental health, including bleeding gums and mouth sores Shortness of breath and feeling dizzy Poor appetite or digestive problems, like constipation, nausea, diarrhea or cramping Sometimes greater risk for problems like cardiovascular complications or even cancer (due to a rise in homocysteine levels) Why might you be low in vitamin B12, even if you eat a relatively healthy diet
Mecobalamin - NCI Drug Dictionary [Internet]