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That does not automatically mean fat gain

Treatment is often initiated at a high dose, followed by a maintenance dose given less frequently, as determined by the patient's B12 levels and clinical response

Topical uses percentages

Some users go above 45 mg per day, but most stay in the 5 to 45 mg range

Tal S, Shavit Y, Stern F, et al

Unlike synthetic forms that need to be converted before your cells can use them, methylcobalamin is ready to work the moment it enters your system