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La dose habituelle pour les adultes est de 0,25 2 ml

So the term off-label is off here since it does not have current FDA approval

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Concerning symptoms Even if you started a vitamin on your own, or with very basic guidance, you should always talk with your provider and expect lab testing to be discussed if you notice: Unexplained tiredness that does not improve Numbness, tingling, balance problems or vision changes Significant mood changes or confusion Frequent fractures or bone pain Unintentional weight loss, ongoing digestive issues or chronic diarrhea These can have many possible causes

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