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Once you escalate beyond 2mg per week, the 5mg vial becomes impractical because you burn through it too quickly
It is more stable, longer-lasting and clinically superior to cyanocobalamin a cheaper synthetic form widely used in beauty salons and non-medical clinics that contains a small amount of cyanide which the body must detoxify
If you plan to resume, restart at the full dose rather than titrating back up, since the break period allows receptor resensitization
Everyone is very professional and makes your experience personal
For others, evening injection timing avoids practical issues
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