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Your chosen delivery method needs to be sustainable for months or years

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Patients should be cautious with internet sellers, research-only products, and vendors that do not provide patient-specific prescriptions, licensed pharmacy labeling, clinician oversight, or clear dosing instructions

While there is some limited evidence of the efficacy of 1,000 micrograms daily dosing of oral cyanocobalamin, this is mainly based on the correction of serum vitamin B12 levels, rather than any impact on clinical signs and symptoms[24]