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Many patients have found that over-the-counter supplements like B12 tablets, nasal sprays, and dissolvable capsules do not provide the same level of energy and mental clarity as their injections

Researchers at these dose levels should have an antiemetic protocol ready before escalating

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"I'd also want people to be aware that adequate vitamin B12 intake is essential during pregnancy and if exclusively breastfeeding, as effects of vitamin B12 deficiency in the developing fetus and infant can be significant," Kamitaki said

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