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They include: Other, more serious reactions can happen

Can give similar symptoms to low B12, you might be deficient in both I'm curious about your overrange folate

For confirmed B12 deficiency without neurological involvement , the standard regimen comprises 1 mg hydroxocobalamin intramuscularly three times weekly for two weeks, followed by maintenance doses every two to three months for those with irreversible causes like pernicious anaemia

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On a typical protocol where someone loses 40 to 50 lbs, that means 10 to 13 lbs of muscle lost alongside the fat