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doi: 10.1001/jama.282.16.1530

A long time ago, pernicious anemia was fatal (pernicious means "deadly")

Standard dosing Daily dose: 300-600mcg per day Injection frequency: Once daily, preferably in the morning on an empty stomach Administration route: Subcutaneous injection Most users start at 300mcg to assess tolerance, then increase to 500-600mcg if the lower dose is well-tolerated but results are modest

Use a thin needle: Stick to 25G or higher to avoid damaging the rubber stopper

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This is often due to low energy levels in your body