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If these measures do not work, an over-the-counter osmotic laxative like polyethylene glycol (MiraLAX) can be used daily as needed

This medication is administered by injection and is used to treat vitamin B12 deficiencies, which can lead to various health problems such as anemia and nerve damage

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If it helps to visualize weekly totals (as an example only): 300 mcg per night x 7 nights = 2,100 mcg per week (2.1 mg per week) Your prescriber may keep the dose consistent or adjust it based on your goals, your response, and your overall protocol