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If you have symptoms, note when they started and whether they are getting worse
Good sleep hygiene keeps both histamine levels and B12 absorption in check
Oral absorption is poor and first-pass metabolism heavy, so both routes land in roughly the same place
Keep the medication in its original packaging if possible
The cost of one wasted vial is trivial compared to the consequences of consistent over or under-dosing across weeks of your protocol
* Indications: Pernicious anemia, both uncomplicated and accompanied by nervous system involvement
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