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If gastrointestinal symptoms are intolerable, temporarily maintaining a lower dose or extending the interval between dose increases allows additional adaptation time

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Many physicians choose to treat B12 deficiency with B12 shots because injections avoid the gastrointestinal tract entirely

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Clinical practice and Perfect Bs protocol use a 3-month cycle: a loading phase, a maintenance phase, and a taper, followed by a 2-month break before reassessment

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Women may start with a lower dose

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