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However, I never get adequate relief from symptoms

Managing this with high-protein, high-fiber foods prevents it from sabotaging results

This initial period allows the body to adapt to NNMT inhibition while minimizing potential side effects

Some people find that they prefer to have smaller quantities of B12 injected weekly or fortnightly, and others would rather take larger doses of B12 monthly

For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement

Most patients have no side effects