Users often report improved stamina, reduced fatigue, and better physical performance, though these subjective reports have not been validated in controlled human trials
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If they inject it into a vein, the body may lose a high proportion as the person passes urine
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NHS loading is 1mg hydroxocobalamin every two days for two weeks, then maintenance every two to three months for life when the cause is non-dietary
When levels are low, symptoms such as tiredness, weakness, and reduced concentration can occur