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Specific dosing should follow institutional research protocols

Efficacy of supplementation with methylcobalamin and cyancobalamin in maintaining the level of serum holotranscobalamin in a group of plant-based diet (vegan) adults Exp Ther Med 2021;22:993

Patients should also ask whether their symptoms suggest a need for standard medical evaluation before considering peptide therapy

A miscalculated dose is a wasted dose, or worse, an unintended dose that produces side effects without therapeutic benefit
