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The B12 in your compounded formulation should keep serum B12 levels adequate in most cases, but "most cases" is not "all cases." Verify with bloodwork rather than assuming

Oral dosing ranges discussed in research community use Phase Weeks 12 (start low) Daily dose 50 mg once daily Notes Morning dosing is the pattern most often reported

If you have recent lab results, share them so your provider can consider baseline levels and symptoms together

if you experienced swelling of the face, rash, or difficulty breathing (signs of a possible allergy), you would need immediate medical attention

Unexpected adverse events should be reported to the FDA MedWatch program