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A reasonable titration schedule might look like this: Week 1: 200mcg once daily Week 2: 300mcg once daily Week 3 onward: 300-500mcg based on response and tolerance Optimizing injection technique Poor injection technique contributes to injection site reactions and potentially to other effects like nausea from anxiety around the process
We review your history, labs, and goals before recommending a protocol
Yes, people with pernicious anemia need vitamin B12 for life
At that point, you can test every 4 hours for more accuracy
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