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That's exactly why it belongs in a supervised program, not a self-experiment

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Simultaneous use may create unpredictable metabolic stress or paradoxical responses

Treatment starts with a consultation to take a medical history and to rule out any contraindications for the vitamin b12 injection

While there is some limited evidence of the efficacy of 1,000 micrograms daily dosing of oral cyanocobalamin, this is mainly based on the correction of serum vitamin B12 levels, rather than any impact on clinical signs and symptoms[24]

Haematological malignancies, liver cancers, and some solid tumours may elevate B12 through increased binding protein production or release from damaged tissue, though most elevated B12 cases have non-malignant causes