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Catching a B12 deficiency early is so important, as untreated low B12 can lead to anemia or even lasting nerve damage

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Conservative protocol for beginners Goal: Assess tolerance and response before committing to full dosing Week 1: 50 mcg once daily (before bed, fasted) Week 2: 100 mcg once daily (before bed, fasted) Week 3-4: 100 mcg twice daily (morning and bedtime, both fasted) Week 5 onward: 100 mcg three times daily (if tolerated) This graduated approach allows researchers to assess their individual response to the appetite stimulation and any cortisol or prolactin-related effects before committing to full dosing

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Am Heart J 139: S120-123 Brevetti G, Chiariello M, Ferulano G, Policicchio A, Nevola E, et al