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Constipation and appetite changes may persist longer, sometimes taking eight to twelve weeks to fully stabilize, but they usually become manageable and less disruptive to daily life

Microdosing offers an adjusted take on this approach

If you send a cancellation request and do not receive a timely response, you could be charged for another month

Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy

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