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[DOI] [PubMed] [Google Scholar] 118.Stevens J, Green MH, Kaiser DL, Pohl SL

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[2] One of eight B vitamins, it serves as a vital cofactor in DNA synthesis and both fatty acid and amino acid metabolism

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First, rule out any underlying conditions such as kidney or liver disease, cancer, or other blood disorders, as these can raise B12 levels

Begin with the lowest effective dose Observe response over 37 days Increase only if results plateau and no side effects are present In peptide therapy, conservative titration with consistent monitoring tends to yield better outcomes and fewer side effects than aggressive front-loading. Milekic, T