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Also, be aware with shots (many doctors still give cyanocobalamin shots) that though you may need higher doses of active B12s (like myself), you may not do well when given higher doses of cyanocobalamin in a shot because your body may not be able to do the conversions and you could have negative side effects

Also discuss the type of B12 they use

less water means a more concentrated solution and a smaller draw

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Realistic Expectations and Timeline It is important to remember that skin cells take time to turn over