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The difference here is that B12 analogues are not bioavailable and so wont improve your B12 intake

When symptoms do occur in the context of high B12, they are usually attributable to an underlying condition rather than the elevated vitamin itself

I had very severe spots on my face and had quite a lot on my scalp too, when I started taking oral methylcobalamin in high doses

Subreddits like r/Peptides have tens of thousands of subscribers exchanging dosing protocols and sourcing recommendations

For many peopleespecially those over 50 or with common genetic mutationsthat conversion process is inefficient, meaning you're not getting the benefits you paid for

In cases of severe deficiency, a course of injections may be given over several weeks before transitioning to maintenance treatment