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In Doctor Koshiba's expert opinion, the alternative on offer - high-dose oral B12 (typically 1000-2000 mcg daily) - can be quite effective for many people

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This distributes the mechanical trauma across the muscle rather than creating fibrotic tissue in one location that impairs future absorption

1 2 "Vitamin B12 production by Citrobacter freundii or Klebsiella pneumoniae during tempeh fermentation and proof of enterotoxin absence by PCR"

Will Changing My B12 Dose Help With the Symptoms

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