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The people who run into real trouble are the ones who take it two or three days early, effectively creating a five-day or four-day cycle instead of seven

A therapy that lightens that load without posing a threat to psychiatric symptoms could tilt the balance of care

January 18, 2021

[18] Lactation studies demonstrate that maternal injections modestly elevate breast-milk B12 concentrations without adverse infant outcomes, supporting compatibility with breastfeeding while underscoring the need for maternal repletion to prevent neonatal deficiency

After that, your dose may be increased by 0.5mg every 4 weeks up to 2 mg once weekly, depending on how you respond to the medication