is oral b12 as effective as intramuscular injections Vitamin Injection Dosage for Adults: Guidelines Compounded Cyanocobalamin (Vitamin B12) Injection
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You should be able to see your MCV increasing, your homocysteine dropping, and your serum B12 level increasing

Remember, weight loss is a journey, not a race

Here are a few tips to manage the most common side effects: Nausea Eat small, bland meals throughout the day instead of large meals

There are other bullet points on this page but here they state evidence based guidance. Id like to know what evidence backs up this particular set of DO NOT DO RECOMMENDATIONS for CFS and ME patients

ClinicalTrials.gov no completed 5-Amino-1MQ human efficacy trial (evidence-gap note)
