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Modern diets, stress, gut issues, and even medications like metformin or antacids can interfere with B12 absorption leaving your body depleted, even if your blood test is normal. What does B12 deficiency feel like
Micronucleus frequency in human lymphocytes is related to plasma vitamin B12 and homocysteine
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Undiluted rapid IV avoid (anaphylaxis risk)
This allows assessment of tolerance before increasing to standard therapeutic doses of 1-2mg daily
Usually, 1000 mcg (1 mg) is given, but it might be adjusted for each person
Gentle pressure afterwards usually settles it
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