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Long-term medication users often find they can maintain lower doses when exercise and nutrition habits remain strong

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Start with smaller servings (half a scoop) and sip slowly rather than chugging, since the slowed stomach emptying means large, fast drinks can trigger nausea or reflux

All of these approaches rely on the ability to enforce clinical criteria through the PBM

Spiering BA, Kraemer WJ, Vingren JL, Hatfield DL, Fragala MS, Ho JY et al

The ideal frequency for B12 injections varies based on your individual needs and response