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A 500mcg dose would now require a 20-unit draw
Practically, that means: Start extremely low sometimes at one-tenth or one-fifth of the usual initial dose
Efficacy of supplementation with methylcobalamin and cyancobalamin in maintaining the level of serum holotranscobalamin in a group of plantbased diet (vegan) adults. Experimental and Therapeutic Medicine 22(3) (2021): 17
10.1002/lsm.20161 Lasers Surg
If you are within the stability window and still experiencing a plateau, it may be time to evaluate other factors like diet, sleep, and exercise
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