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Combination protocols leverage three principles

Persistent tiredness is one of the main symptoms of low B12, so theres a good chance injections will help you feel much more energised

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This avoids potential health concerns or medication interactions

These medications reduce gastric acid production, which is necessary for releasing dietary vitamin B12 from food proteins and for maintaining the stability of the B12-intrinsic factor complex

Initial treatment may involve frequent injections followed by maintenance regimens, with periodic review of symptoms and, where appropriate, blood counts