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If folate deficiency is suspected, it is reasonable to give oral folic acid (0.4 1 mg/day) without doing laboratory investigation for deficiency at least until the hemoglobin and mean corpuscular volume normalizes (or longer if the underlying cause cannot be eliminated)

To absorb the most B12, divide your dose over the course of the day

Use glass, ceramic, or plastic dishes and cutlery instead of metallic ones

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Dosing Considerations While results vary, studies have used total weekly hCG dosages between 500 to 5000 IU split into multiple injections with good outcomes

Missed dose: If you miss a dose of your cyanocobalamin injection, take it as soon as you remember