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For these patients, methylated B12 is profoundly more effective

[1] [2] It is administered once weekly via subcutaneous injection and should be used alongside diet, physical activity and behavioural support

Just take it separately from your B12 to avoid any interaction issues

Detailed written instructions to demonstrate self injection technique

The maximum recommended dose varies based on the specific indication and individual patient factors, but generally does not exceed 2.5 mg weekly for most patients

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