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Drop back to the last tolerated dose and stay there for 6-8 weeks before attempting escalation again

J.KriegerK

In the end, choosing between methylcobalamin and cyanocobalamin should match your health goals and what your doctor recommends

And then you should be able to break it in half along that line every time by simply applying pressure to snap it outwards, by pushing your thumbs away from you

Subcutaneous administration appears most common in published protocols, though intramuscular, intraperitoneal (in animal models), and even oral routes have demonstrated efficacy