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Therapy for mild to moderate deficiency: In many diagnosed deficiency states, high-dose oral therapy can reliably normalize B12 levels

Both have a black box warning about increased risk of suicidal thoughts in young people

Dosing is individualized, but a typical protocol titrates from a starting dose up to a target dose over 2 to 4 weeks, injected 5 days on and 2 days off, in defined cycles with scheduled breaks between them

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Steroids and Immunosuppressive Medications : For inflammatory causes of anemia, and in the case of autoimmune hemolytic anemia, high doses of prednisone and immunosuppressive medications, like Imuran, may be prescribed

Community reports suggest the combination produces approximately 60% better outcomes than either peptide alone for significant injuries