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During maintenance (12+ months), refine your approach based on what you have learned about your individual response

clinical trials support up to 52 weeks with monitoring [3]

Regular injections may help reduce tiredness and improve mood

PubMed laboratory research record [PMID: 24304574] PubMed record related to this compound for laboratory literature review

For severe deficiency, the AAFP recommends loading doses typically daily or every other day for one to two weeks followed by monthly maintenance injections