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I believe I have been under treated for pernicious anaemia for many years and last year decided to

Medicinal forms | Hydroxocobalamin | Drugs BNF NICE

Protocol: AOD 9604: 500mcg morning fasted Semaglutide: Standard titration protocol (start low, increase gradually) This combination requires closer monitoring since you're affecting multiple metabolic pathways

Low levels have been linked to several issues, including a decline in brain function and a possible link to depression

If you're a strict vegetarian or vegan, you're at higher risk of B12 deficiency since plant-based foods don't naturally have B12