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Patients should consult with a physician that can perform appropriate testing to assess the need for use of supplements and monitor use as needed.Keep in mind that supplements are not tested by the FDA so there limited data on safety and side effects

People and most animals have B12-producing bacteria living in their intestines

doi:10.1161/CIRCULATIONAHA.109.904672 Rafeq Z, Roh JD, Guarino P, Kaufman J, Joseph J

Additionally, individuals with a known allergy or sensitivity to benzyl alcohol should always opt for sterile water and plan their dosing so the full vial is used in one session

Have any questions about vitamin B12

Metabolic factors can influence optimal dosing protocols