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Cautions DO NOT TAKE large doses of vitamins (megadoses or megavitamin therapy) unless directed to by your doctor
I was put on Ferrous Gluconate for decades and then changed to Ferocious Fumarate (Foggyme please note) in more recent years
Langan RC, Zawistoski KJ (2011) Update on vitamin B12 deficiency
You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse
In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up
Cycle the blend as a whole: 12 weeks active across the activation (weeks 14), remodeling (weeks 58), and maintenance phases (weeks 912), followed by 48 weeks off
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