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Factors like poor absorption, certain medications, or lifestyle choices (like a vegetarian or vegan diet) can leave you deficient

The table shows cyanocobalamin is effective and affordable, but hydroxocobalamin lasts longer

Rasmussen MH, Frystyk J, Andersen T, Breum L, Christiansen JS, Hilsted J

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Others notice steady improvement over several days

The ultimate goal is to generate clinical evidence that leads to official changes in treatment guidelines, ensuring that injection frequency is based on patient-reported symptoms and individual clinical response, rather than solely on national blanket protocols