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The 10mg vial makes sense once you have titrated to 1.7mg or higher and plan to stay at that dose or move to 2.4mg
Total gastrectomy always produces vitamin B12 deficiency
Cardiovascular risk evidence uses the 2.4 mg dose
When to Seek Medical Advice About B12 Levels Knowing when to consult your GP about vitamin B12 concernswhether related to deficiency or potential excessensures appropriate investigation and management whilst avoiding unnecessary anxiety
This fundamental cellular reset forces white adipose tissue to act more like metabolically active brown adipose tissue
On the other hand, those with methylation issues (MTHFR gene mutations carriers, for instance) do best on methylated B12, that is, methylcobalamin
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