Doses used clinically generally start modestly and can be adjusted upward based on the patient, with the intravenous route favored precisely because it sidesteps the oral-absorption question
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Bacteriostatic water is also one of the frequently used auxiliary products for them
Once B12 levels improve and you are no longer deficient, your treatment may be switched to supplements
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10.1002/rmv.2221 Rev Med Virol