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No delayed-onset adverse effects emerged that were not apparent in the initial weeks of treatment

They prepare individualized medications for patients with valid prescriptions, follow USP standards for sterility and potency, and are inspected by state boards of pharmacy

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Recommended treatment protocol: 1000-2000 mcg of B12 given through injections or under the skin, at first daily or weekly

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No participants withdrew from any trial due to tolerability issues, indicating that even when side effects occurred, they were sufficiently manageable that participants chose to continue treatment