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Microdosing patients will typically start at a lower dose

The symptom list overlaps almost perfectly with the symptoms people blame on "high B12" which is part of why this connection often gets missed

A sterile lyophilized powder, which stores far better than a pre-mixed liquid

Due to cereal fortification with folic acid, folate levels are more typically adequate, but B12 levels are often inadequate due to a lack of sensitivity in testing ( CMAJ 2005;172:1569-1573) as well as reduced B12 absorption through aging ( CMAJ 2004;171:251-259)

Combine an unvalidated dose with a product purchased as a "research chemical" of unverified identity, purity, and sterility, and the gap between online enthusiasm and responsible clinical practice becomes obvious