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The dosing schedule should be determined by a healthcare provider, with periodic monitoring of vitamin B levels and clinical symptoms to adjust therapy as needed

Some practitioners employ intermediate dose increases, such as escalating by 0.25 mg increments rather than doubling doses, to improve tolerance in sensitive patients

A deficiency will cause homocysteine levels to rise, which can then result in dementia, heart disease, atherosclerosis, stoke, week bones, depression, and Alzheimers disease

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