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This is why you might notice that two people with seemingly identical lifestyles, including exercise and diet, can have wildly different outcomes

Strong evidence, from decades of treating individuals with inborn errors of B 12 metabolism, supports the safety of parenteral, lifelong, even high dose hydroxocobalamin, sometimes even at very high doses

Depending on your outcomes and how well you tolerate the medication, your prescriber may recommend you move up to 2ml per week, or 1ml twice per week

[17] When the can is three-quarters full, take it to your doctors office, a bio-hazard collection site, a hazardous waste center, or a syringe exchange program for disposal