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Recommended dosing of 1-2 mg subcutaneous injection 2-3x per week (6 mg/week total) compares to toxic dose estimated at ~22,500 mg (approximately 3,750 times higher than weekly dose)

The lack of preservatives allows bacterial contamination and degradation to occur more rapidly

& Thaiss, C

however, there are important compatibility considerations when mixing it with other drugs

For these individuals a B12 energy shot is extremely beneficial and could likely be their only significant source of B12

Additionally, create a relaxing bedtime routine that incorporates calming activities such as reading, taking a warm bath, or practicing relaxation techniques like meditation or deep breathing exercises