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This direct dissociation pathway is significant for methylcobalamin, and dominant for ethyl- and n-propylcobalamins

However, age-related organ changes may increase sensitivity, so medical supervision is important

A typical schedule looks like this: Initial loading course: If you have neurological symptoms, injections are given every other day for two weeks

Home testing is also vital

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However, for those with mild dietary deficiencies and intact absorption mechanisms, high-dose oral tablets can often be sufficient, albeit with potentially slower results