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Humans are completely dependent on dietary sources for cobalamin, with a minimum daily requirement of about 2.5 g and a recommended intake of 6 g daily

Wu Y, Connors D, Barber L, Jayachandra S, Hanumegowda UM, Adams SP (2009) Multiplexed assay panel of cytotoxicity in HK-2 cells for detection of renal proximal tubule injury potential of compounds

Nutrient Deficiencies and Lab Results Low levels of B12, B6, or other B vitamins might warrant an initial round of weekly or biweekly injections until levels stabilize

And many of them, if not explicitly counseled otherwise, will do exactly that

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Some drift of Botox is to be expected with your treatment, but usually only within a 1 to 3-cm allowance