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Splitting the dose or adding a second daily injection is not part of the clinical protocol and may not improve outcomes

Their theory made sense

People who are deficient often experience fatigue along with dizziness and weakness

Individuals with pernicious anemia may require continuous treatment

The physiology of vitamin B-12 is a multistep process that is characterized by multiple trafficking events, associations and dissociations among several binding/carrier proteins, specific and multiligand receptor-mediated endocytosis, intracellular trafficking into different cellular compartments, and protein-specific controlled exit (1, 2)

"Analytical approaches for the detection of emerging therapeutics and non-approved drugs in human doping controls." Journal of pharmaceutical and biomedical analysis 101 (2014): 66-83