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If your symptoms persist despite corrected blood levels, that signals the need for a closer reviewand possibly a shift to the active form

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Timing & Dosage Considerations Split Dosing: Many protocols divide the daily dose into two or three smaller administrations to maintain steady blood levels

Data are lacking from long-term studies to assess whether oral treatment is effective when doses are administered less frequently than daily

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For example, if you are taking chloramphenicol, an antibiotic, it could interfere with the blood-building response to the B injection