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Your doctor may increase it to 1 mg or 2 mg weekly, based on how your blood sugar responds and how you feel

Growth hormone raises blood glucose

next, the process is taken over by the microbiota, mainly in the large intestine

There are no other absolute contraindications reported for hydroxocobalamin use in deficiency states, but caution is advised in individuals with conditions such as early Lebers optic neuropathy (a rare hereditary optic atrophy) due to the theoretical risk of worsening vision