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Contact your healthcare provider to discuss potential dose adjustment

doi:10.3109/15563650.2012.659252

In the UK, the MHRA is responsible for ensuring that medicines meet appropriate standards of safety, quality, and efficacy

PlexusDx allows dose adjustments or pauses at any time without penalty or price increase

The authors suggest that either methyl-B12 and adenosyl-B12 should be given together, or either cyano-B12 or hydroxo-B12 on their own, both of which can be converted into both active forms

Introducing the reconstitution liquid too forcefully, using the wrong kind of liquid, or shaking the vial can physically shear these chains apart