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Pt B (2017): 396414, 10.1016/J.NEUBIOREV.2016.09.014

The FDA has reported adverse events tied to dosing errors with compounded versions and urges caution and clear instruction

Clinical improvement often guides management more reliably than biochemical values alone
FEBS Journal
For this reason, it is not uncommon to feel tired and sluggish when vitamin B12 stores are low
