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PMID: 20388969 [5] Goldstein AL, Hannappel E, Kleinman HK

Unless otherwise prescribed, 1 ml twice a week is administered at the beginning of the treatment in the first weeks after diagnosis

Myers Cocktail The gold-standard multi-vitamin infusion

Insulin resistance and endothelial function are improved after folate and vitamin B12 therapy in patients with metabolic syndrome: Relationship between homocysteine levels and hyperinsulinemia

Oral may make sense for a gut-first goal, while injections may be discussed for more body-wide goals

Talk to your provider about other possible medical problems that you might have if hydroxocobalamin doesn't seem to help raise your vitamin B12 levels