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12 weeks on, 8-12 weeks off: Extended cycles with equivalent rest periods
Instead, gently swirl the vial in a slow, circular motion until the powder has fully dissolved
But both should still be dosed in the morning to avoid circadian disruption
D.GrashornJ
However, if factors such as the prescribed medications are negatively impacting B12 status then the frequency may well need to be increased to either 6-monthly or 3-monthly
At least you are now having the loading doses so hopefully you will soon have some signs of improvement
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