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doi: 10.1152/ajpendo.2001.280.2.E221 44 TrendelenburgAUMeyerARohnerDBoyleJHatakeyamaSGlassDJ

First, if you have proven deficiency under NHS care and want a private top-up injection between NHS doses because your symptoms return early, we will do that on agreed protocol after seeing your blood results

Tell any doctor who treats you that you are using Vitamin B12 injection

Once symptoms clear, reintroduce 5-amino-1MQ at half the original dose (e.g., 25mg instead of 50mg daily) and titrate upward slowly over 23 weeks to assess tolerance

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