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Suggested starting points to discuss with your clinician Deficiency without malabsorption: 1,0002,000 mcg oral cyanocobalamin daily until normalized, then weekly or monthly maintenance per labs (AAFP)

This process contributes to ATP production, which is how your cells store and release energy
[DOI] [PubMed] [Google Scholar] 76.Zivanovic-Posilovic G., Balenovic D., Barisic I., Strinic D., Stambolija V., Udovicic M., Uzun S., Drmic D., Vlainic J., Bencic M.L., et al

Heavy metal contamination, residual solvents, and other manufacturing impurities pose additional health risks unrelated to the peptides themselves