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Monotherapy protocols are commonly initiated at 0.6 mg per week and escalated to a maximum studied dose of 4.5 mg as tolerated
If you're 50 or over, your doctor may recommend a B12 shot after a significant blood test
Some naturopathic practitioners in the US may also offer methylcobalamin injections or IVs
This hepatocellular necrosis can temporarily raise serum B12 levels, particularly in acute hepatitis, alcoholic hepatitis, or decompensated cirrhosis
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