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Cycling Approach: Some practitioners implement protocols such as 12 weeks on, 4-8 weeks off to theoretically prevent receptor desensitization, reduce long-term costs, or provide physiological breaks

Tap water, distilled water, or boiled water: Not sterile

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Heat plus an opened vial is the worst combination

Its mostly found in animal-based foods, so if your diet is limited or your body struggles to absorb nutrients , your B12 levels can drop