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NICE guidelines recommend hydroxocobalamin 1 mg intramuscularly three times weekly for 2 weeks (without neurological involvement) or on alternate days until no further improvement (with neurological symptoms)

People who follow a vegan or vegetarian diet may be at risk of vitamin B12 deficiency

SS-31 to protect mitochondria and optimize electron transport efficiency

Vitamin B12 deficiency has occurred in breastfed infants of vegetarian mothers whose diets contain no animal products (e.g., eggs, dairy), even though the mothers had no symptoms of deficiency at the time

Many people report feeling stable and more focused rather than feeling jittery, flushed, or overstimulated