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These patients warrant either baseline supplementation or at minimum testing b12 levels every 6 to 12 months during treatment to catch declining levels before deficiency develops

Another complication: MIC B12 isnt standardized, so results (and risks) can vary by formulation and preparation

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The 0.25mg to 2.4mg titration schedule represents the optimal balance identified through these extensive research programs

Both cause nausea that limits dose escalation

Nerve pain, or neuropathic pain, associated with vitamin B12 deficiency typically manifests as tingling, numbness, burning sensations, or sharp pains in the hands and feet