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Start as low as 5 billion and increasing to as many as 25 billion CFUs daily (best done under a doctors supervision)
Parry Strong A, Haeusler S, Weatherall M, Krebs J (2016) Sublingual vitamin B12 compared to intramuscular injection in patients with type 2 diabetes treated with metformin: a randomized trial
Most people notice an improvement in energy levels within 24-48 hours, though results may vary
As we age, stomach acid production can decline (atrophic gastritis), which makes it harder to extract B12 from food or pills
Assessment may consider: Symptoms, when they started, whether they are progressing and whether neurological symptoms are present
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