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While some users report enhanced local effects, the evidence for superiority over subcutaneous administration remains unclear, and complications including nerve irritation present greater concern

That's why most research protocols build in a break between cycles, often called a washout period, to let the body reset before starting again

Use 5,000 mcg daily of sublingual methylcobalamin, taken in the morning away from thyroid medication

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Schwieler, L., Linderholm, K