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doi:10.1300/J052v24n03_05
it's a specific, highly pure peptide and a specialized diluent designed for this exact purpose
2.2 Recognizing B12 Deficiency Suboptimal B12 may present subtly: Neurological : Paresthesias in hands or feet, gait instability, cognitive fogginess. Psychiatric : Mood swings, irritability, depression
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If your deficiency is more serious and you have symptoms of ill-health, a stronger dose of Vitamin B12 may be prescribed to be taken orally, in an IV drip or an intramuscular shot