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General Daily Dosage: Protocols suggest extremely low doses, ranging from 20 mcg to 80 mcg per day

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This distinction is important, and your physician should discuss it with you as part of informed consent

Although vitamin B 12 deficiency is known to damage the myelin sheath covering cranial, spinal, and peripheral nerves, the biochemical processes leading to neurologic damage in vitamin B 12 deficiency are not yet fully understood (22)

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