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Cyanocobalamin injections, though less commonly used in the UK than hydroxocobalamin, can similarly raise serum concentrations

Monthly or quarterly B12 shots are common protocols, with dosing typically between 500 and 1,000 micrograms per injection

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For example, a 0.5 mg daily dose becomes 0.25 mg in the morning and 0.25 mg in the evening

Muscle Nerve 69:477489 Hemerkov P, Vali M (2021) Role of oxidative stress in the pathogenesis of amyotrophic lateral sclerosis: antioxidant metalloenzymes and therapeutic strategies