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Without this protein, your stomach simply cannot absorb B12, no matter how much you take orally

Serious adverse effects are rare but have been reported, particularly with IV administration of thiamine

I am in Germany and noticed my first B12 prescription included this, so I assume it is safe

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Often split into two injections: 250mcg fasted AM and 250mcg pre-bed

Patients sometimes ask whether a 5th injection would extend the benefit