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Here's the key nuance: these side effects can occur even on a small dose
(2009) Pharmacological dose of vitamin B12 is as effective as low-dose folinic acid in correcting hyperhomocysteinemia of hemodialysis patients
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For example, if your supplement happens to be 10 g, then cutting it in half and taking the resulting 5 g supplement twice a day (at least 4 hours apart) will meet the EFSA recommendations

You can use regular insulin syringes and inject the B12 solution into fat tissue (subcutaneously)
