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Nassar M, Misra A, Bloomgarden Z

2017 Jul 5;18(7):1447

For confirmed deficiency with neurological symptoms , intramuscular cyanocobalamin injections are preferred, typically administered as 1000 mcg daily for one week, then weekly for four weeks, followed by monthly maintenance therapy

He summarized that "the most impactful step available right now is not a genetic test." What matters more, he said, is matching the drug to a patient's eating profile and other health conditions, then watching how they respond in the first three months, an approach already recommended by the American Diabetes Association

May be taken with food if stomach upset occurs

Action of long(R3)-insulin-like growth factor-1 on protein metabolism in beef heifers