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Your doctor will start you off with a low amount to lessen side effects like diarrhea and nausea

Some people use sublingual delivery (powder held under the tongue briefly before swallowing) but there's no strong evidence this meaningfully improves bioavailability for this compound class

A meta-analysis confirmed that administering folate, vitamin B12, and vitamin B6 can help decrease serum homocysteine levels

Many patients combine B12 injections with other treatments at The Pur Health

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