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Vanessa Mack (Dean) and her team provide ongoing guidance and monitor patient progress to help determine whether adjustments to a B12 injection schedule may be needed

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1,2 Most side effects are mild to moderate, appear during the period when the dose is increased (titration), and resolve over four to six weeks once the body adjusts

Its antimelanogenic properties shift melanin production from darker eumelanin to lighter pheomelanin, but have only minimal effects

it aims to restore normal physiologic levels rather than create supraphysiologic levels